The bill includes more than $140 billion in spending on the Trump administration's plan to crack down on illegal immigration. That includes $50 billion for completing the wall on the southern border, $45 billion for detention centers, $8 billion to hire more immigration officers, and $14 billion for deportations.

A proposed regulatory change from the Centers for Medicare & Medicaid Services (CMS) aims to shut down a decades-old "tax loophole" in Medicaid financing, a move the agency says could save federal taxpayers over $30 billion across five years.

Congressional Republicans are looking to cut at least $880 billion from a pool of federal funding that includes Medicaid — and the program is likely to take a major hit. A previous budget crunch in Missouri offers a window into how cuts ripple through people's lives.

As House Republicans hash out details of President Trump’s “big, beautiful bill,” some fear harm to Minnesotans in need and the state’s budget.

The state Department of Health says the change will reduce confusion and enhance care.