The House of Representatives approved the fiscal year 2026 federal budget bill, commonly referred to as "one big, beautiful bill," with a 218 to 214 vote on Thursday afternoon.

The sweeping tax and spending bill pushed by President Trump includes provisions that will sharply undermine gains in health insurance coverage, some policy analysts say.

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.