President Donald Trump insisted this week his signature policy bill won’t cut Medicaid—a narrative many Republicans have adopted to counter estimates the GOP’s proposed changes to the program could reduce Medicaid spending nearly $800 billion over the next 10 years with new work requirements and a ban on Medicaid for gender-transition care,

The GOP's contentious budget bill was approved by the House by the narrowest possible margin last month, and was recently lambasted by former Trump advisor Elon Musk.

Iowa Republican Senator Joni Ernst defended Medicaid cuts included in President Trump’s “big, beautiful bill,” telling constituents, "Well, we're all going to die" during a town hall on Friday.