There’s 35 million people under the poverty line inside the United States, and there’s 70 million people that are signed up for Medicaid,” Sen. Markwayne Mullin (R-Okla.)

Key Medicaid cuts will have to be struck from the “One Big Beautiful Bill Act,” in the Senate, if Republicans want to pass it with a simple majority, but hospital associations are still concerned about what policies will make it to the final bill.

The Republican budget bill proposes requiring adults on Medicaid work a certain number of hours in order to qualify for coverage.