The House-approved budget bill includes proposals for significant spending cuts to Medicaid and new work requirements.

Moderates had pushed back against more sweeping Medicaid policy changes, like altering the federal share of costs for states (FMAP) or implementing per capita caps, though they were on board for work requirements.

It would impose work requirements for low-income adults to receive Medicaid health insurance and increase them for food assistance as well as cut funding for services like birth control to the nation’s biggest abortion provider. Supporters of the bill say the moves will save money, root out waste and encourage personal responsibility.