That allows Republicans in Congress to say they are not cutting Medicaid benefits or eligibility, even if that is the inevitable effect in most places. Republicans point out that the original pact between Washington and the states has frayed,

Medicaid is a health insurance program that covers about one in five people across the country. What would possible cuts mean in Nebraska?

Medicaid cuts could disproportionately impact rural areas, where working-age adults rely heavily on the program. With Republicans seeking deep cuts, rural hospitals and communities face significant challenges.