Johnson said some controversial proposals to slash Medicaid were off the table for the massive Trump agenda bill, while conservatives pressed him on steep spending cuts.

Centrist Republicans have concerns about reforming the entitlement program as fiscal conservatives encourage House Speaker Mike Johnson to go further.

House Republicans are advancing a budget reconciliation bill with $700 billion in Medicaid savings, but still undecided is what year work requirements would begin.

Republicans' proposed Medicaid cuts will cause 8.6 million people to lose health insurance by 2034, an estimate shows. Kentucky Gov. Andy Beshear said it will cost Republicans seats in Congress.

Speaker Mike Johnson is trying to strike a delicate balance between blue-state Republicans and conservative hard-liners on a sprawling bill for Trump's agenda.

Proposed Medicaid cuts in the Republican budget proposal hold significant implications for health care access and coverage.

A mega-bill central to President Donald Trump's domestic agenda cleared a key hurdle Sunday, progressing out of the House Budget Committee.