Gov. Josh Shapiro warned Wednesday that the Medicaid cuts Congress is considering would mean billions of dollars in lost federal aid to Pennsylvania, hundreds of thousands of people losing access to the health insurance program and more struggling rural hospitals shutting their doors.

House Republicans are using work requirements and other wonky proposals to pretend they aren’t gutting Medicaid. But the results will be the same.

Three committees advanced legislation that would combine into the “big beautiful bill” to enact President Trump’s agenda. But the package faces a rocky path.

Republicans on the House Energy and Commerce Committee advanced legislation Wednesday afternoon containing cuts to Medicaid and health care provisions — some of the most controversial and