Texas hospitals are facing a freeze in billions of dollars in federal Medicaid funding under a budget proposal introduced by House Republican leaders Sunday night. Republicans are moving to limit access to a tax loophole that Texas and other states have used to tap extra Medicaid dollars for hospitals and medical providers.

The Congressional Budget Office reviewed the leading proposals from Republicans who are trying to cut the costs of a program that serves roughly 72 million poor and disabled Americans.

Republicans can save $880 billion over 10 years in Medicaid by block-granting the federal portion, providing maximum state flexibility and expanding Medicare Part D to Medicaid.

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.

In a closed-door meeting late Tuesday, Speaker Mike Johnson and GOP leaders sought to assuage moderates’ fears about changes to the health safety-net program to help finance their party-line megabill.

Brett Guthrie of Kentucky, the GOP chairman ... of their Medicaid programs. The extra tax often leads to higher payments from the federal government, which critics say is a loophole that creates ...

Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.

Republicans in Congress are weighing a politically fraught strategy to fund President Donald Trump's domestic agenda by slashing Medicaid spending through the closure of a long-standing financing tactic used widely by red states.