Support for President Donald Trump’s “one big, beautiful bill” could be on thin ice with fiscally conservative House Republicans now that Speaker Mike Johnson, R-La., is ready to make concessions on cutting federal Medicaid shares to states in order to gain the support of centrists.

Johnson and his leadership team met with centrist holdouts for nearly two hours Tuesday night to discuss pathways on reconciliation, which Republicans are using to pass one bill to codify Trump’s agenda, the Washington Examiner reported Wednesday.

Republicans supportive of Medicaid are concerned the proposed $1.5 trillion in overall spending cuts would run roughshod over the government program for low-income individuals, particularly as fiscal hawks claim that significant reforms to Medicaid are needed to earn their vote on the bill.

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