Missouri Senator Josh Hawley called the cuts to Medicaid "politically suicidal" as many Republicans' voter bases may be threatened by them. House Republicans have proposed legislation with $880 billion in cuts, largely to Medicaid, in order to approve $4.5 trillion in tax breaks.

Senator Hawley is warning Republican colleagues of a potentially “politically suicidal” decision to cut Medicaid as they move forward with President Trump’s “one big beautiful bill.” Just on Sunday, an analysis of the House GOP’s legislation found that more than 13 million Americans would lose health insurance if it passes.

Rep. Andy Biggs is in favor of cuts to the Medicaid expansion program. If he becomes governor, he may over see a health care budget crunch.