Recent developments indicate that Republican lawmakers are pushing for significant changes to Medicaid funding, particularly targeting states that provide coverage for unauthorized immigrants. A proposed federal budget bill suggests penalties for states that continue to insure these individuals, which critics argue could adversely affect U.S. citizens as well. Reports also reveal that state-by-state estimates are being prepared to gauge the impact of these changes. Meanwhile, claims from the Trump administration regarding the removal of undocumented immigrants from Medicaid have raised questions about the actual coverage provided at the federal level. As the House GOP plans to cut Medicaid benefits, the debate intensifies over how these reforms will not only affect immigrants but also low-income Americans reliant on these services.