House Republican leaders released a new version of President Donald Trump’s massive tax and spending bill with a higher limit on the deduction for state and local taxes and other changes in a bid to win over warring GOP factions to support the legislation.

South Carolina Medicaid approved GLP-1s to treat obesity, placing it among the few state programs covering the drugs. But access remains limited.

President Donald Trump moved Tuesday to end the quarrelling among various GOP factions and move his domestic-policy megabill toward passage, telling House Republicans behind closed doors that they need to unite immediately behind the “big, beautiful bill” their leaders have assembled.

House Speaker Mike Johnson (R-La.) arrived for a meeting with House Republicans in Washington on Wednesday morning. House Republicans pushed forward on their sweeping domestic policy bill in marathon sessions that stretched into Wednesday morning, pushing debate over Medicaid and tax cuts. HAITUN JIANG/NYT

Congress is proposing significant changes to Medicaid that would reduce government spending on the program by $716 billion. Here is what to know.

In Washington, a significant tax bill is being debated, while raising concerns about possible changes to Medicaid that could affect millions of Americans, including those in West Michigan.

Congress could soon vote on a bill that would make sweeping changes to Medicaid. In Missouri alone, 1.3 million people use Medicaid.