As part of their effort to pass a massive tax, immigration and spending cuts package, House Republicans are eyeing plans to shave billions from the federal budget. Some of those cuts could affect Medicaid and the related Children’s Health Insurance Program.

House committees have been laboring for months to draft the legislation, which Republicans have labeled “THE ONE, BIG, BEAUTIFUL BILL,’’ a nod to Trump himself. Speaker Mike Johnson is pushing to approve the package and send it to the Senate by Memorial Day.

Health care providers at the American Hospital Association’s annual meeting warned that cuts to Medicaid could force hospitals to close.

The Jobs and Opportunities for Medicaid Act, adds a 20-hour weekly work or volunteer requirement for Medicaid enrollees starting Jan 1, 2026.

The tax plan is touching off the biggest political debate over taxes, spending and the nation’s priorities in nearly a decade.

Draft legislation filed Sunday night, projected to save the government more than $900 billion, would cost millions of people health insurance coverage within a decade.

CMS has issued a proposed rule to close what it describes as a Medicaid tax “loophole” that some states have exploited to increase federal payments while minimizing their state financial contributions.

A key Congressional committee pressed ahead Tuesday on a bill that could slash hundreds of billions of dollars in federal spending, potentially leaving millions of Americans without health coverage and complicating state budgeting in Massachusetts and elsewhere.