Early battle lines are forming over a centerpiece of the sprawling domestic policy bill that House Republicans narrowly passed, with Medicaid spending cuts emerging as a flash point that could define the 2026 midterm elections.

David Sacks, the president’s AI and crypto czar, admits Republicans are preparing to gut Medicaid as Trump and Mike Johnson pretend they aren’t.

The House votes in favor of "big beautiful bill." If bill passes Senate, some will see tax cuts and millions could lose Medicaid coverage.