The House-approved budget bill includes proposals for significant spending cuts to Medicaid and new work requirements.

It would impose work requirements for low-income adults to receive Medicaid health insurance and increase them for food assistance as well as cut funding for services like birth control to the nation’s biggest abortion provider. Supporters of the bill say the moves will save money, root out waste and encourage personal responsibility.

Many low-income families would see cuts in health care and food benefits. The state hopes for a big reimbursement for border security spending.

The White House needs nearly every Republican to vote for the bill, but two distinct factions have their doubts.

Early Thursday morning, the House of Representatives passed the One Big Beautiful Bill Act by one vote. The bill had been amended by the Rules Committee, and it now goes to the Senate for consideration.

There’s a stark contrast between the effects on high earners and those on low-income households in a sprawling legislative package House Republicans passed Thursday.