The Congressional Budget Office estimates the Medicaid cuts could leave nearly 12 million Americans uninsured.

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.

Republicans are holding the line on the messaging that the budget reconciliation bill does not cut Medicaid benefits for vulnerable people.