The House GOP is experiencing significant internal conflict regarding proposed cuts to Medicaid, with reports indicating that millions could lose their health coverage if these cuts are passed. Tensions heighten as hard-liners push for aggressive spending reductions, while moderates express concerns about the implications for vulnerable populations. A recent Congressional Budget Office report highlights that many districts represented by Republicans have high Medicaid enrollment, putting pressure on lawmakers to reconsider their approach. Amid growing public dissent, including a 24-hour vigil at the National Mall, some GOP members are backing away from certain proposed cuts. The situation complicates ongoing negotiations over other major legislative matters, and with the clock ticking, Congress faces a critical decision on the future of Medicaid funding.