Of the $16.4 billion annual Medicaid costs for Louisiana, state taxpayers kick in about $3 billion, according to the Legislature. The new law would halt some of the tools Louisiana uses to pay that $3 billion, requiring the state to pour in extra money or let some people go without health insurance.

Rep. Mark Amodei, a Republican, called President Trump's budget bill a balancing act that reins in excessive Medicaid spending.

Both of Alaska’s U.S. senators voted Tuesday in favor of a budget reconciliation bill that includes many of President Donald Trump’s domestic priorities, including extending tax cuts that disproportionately benefit the wealthy and cutting Medicaid and food assistance for millions of Americans.