The measure cements into law much of Trump’s agenda and is being hailed by the president and his supporters as a major victory.

Sharp Medicaid cuts could result in vulnerable Americans no longer being able to receive care, either by losing coverage or by closing the centers that provide such care.

As Democrats rush to define President Donald Trump’s domestic policy and immigration law, a handful of liberalcandidates are relying on their personal experiences with programs facing key cuts to highlight the broad scope of the legislation and target Republicans who voted for it.

Of the $16.4 billion annual Medicaid costs for Louisiana, state taxpayers kick in about $3 billion, according to the Legislature. The new law would halt some of the tools Louisiana uses to pay that $3 billion, requiring the state to pour in extra money or let some people go without health insurance.