Johnson said some controversial proposals to slash Medicaid were off the table for the massive Trump agenda bill, while conservatives pressed him on steep spending cuts.

House Speaker Mike Johnson (R-La.) is staring down a growing rebellion from his centrist wing over cuts to Medicaid in the GOP's "big, beautiful bill." Why it matters: Moderate and swing-district House Republicans are trying to balance their loyalty to Trump with their increasingly imperiled reelection prospects.

A MAGA Republican shot back at House Speaker Mike Johnson (R-LA) after he announced that GOP leadership in his chamber had decided not to pursue a pair of major Medicaid cuts that were under consideration.

The Republican speaker’s decision underscored the resistance in his party to politically painful reductions to the program, and drew a backlash from the hard right, which is demanding deep cuts.

Work requirements remain on the table but Congress will not cut the matching rate for the Affordable Care Act expansion or impose per capita limits on states.