Millions of Americans are at risk of losing access to Medicaid under the proposed legislation, which passed the House Energy and Commerce Committee (HECC). Representative Brett Guthrie, a Kentucky Republican and chair of the HECC, insisted that the changes will "strengthen and sustain" Medicaid for the future, calling them "common sense."

Republicans in Congress are moving with rapid speed to advance President Donald Trump’s big bill of tax breaks, spending cuts and beefed-up border security funding.

Lawmakers are sparring over how deeply and quickly to trim the program for low-income Americans, slowing the passage of Trump’s tax-and-spending agenda.