Medicaid has become a key hot button topic in the sweeping tax and spending cuts bill that House Republicans are scrambling to pass as soon as this week.

House Republicans leaders are planning to accelerate new Medicaid work requirements to December 2026 in a deal with ultra-conservatives on the giant tax bill, according to a lawmaker familiar with the discussions.

If passed into law, the bill would push 7.6 milion people off Medicaid, according to the Congressional Budget Office. Cuts and new conditions for SNAP food aid would save $300 billion over ten years. Trump's 2017 tax cuts would be made permanent, costing $2 trillion over the next decade.