On Thursday, the U.S. House narrowly passed a sweeping bill that slashes about $3.8 trillion in taxes by scaling back social safety net programs including Medicaid and SNAP.

Data analyzed in the New England Journal of Medicine found that states that expanded Medicaid after the Affordable Care Act’s 2010 adoption experienced a 2.9% reduction in mortality rates among adults aged 20 to 64, equating to approximately 20 fewer deaths per 100,000 individuals each year, says Cola.

For years, states have been taxing health care providers to draw down additional federal funds for their Medicaid programs.

The AHA warned that immediate implementation of the Medicaid funding changes would leave state governments with little time to adjust their budgets, potentially disrupting the delivery of health services.

House Speaker Mike Johnson shepherded through Congress President Trump's spending bill, which includes Medicaid work requirements.