Republicans tax bill will cut $1 trillion from Medicaid and Affordable Care Act insurance plans. Nearly 12 million people to lose health insurance.

On July 3 the House of Representatives will vote on the Trump administration’s new budget bill, which incorporates massive cuts to Medicaid, the state-federal health insurance program that serves more than 70 million low-income people.

Of the $16.4 billion annual Medicaid costs for Louisiana, state taxpayers kick in about $3 billion, according to the Legislature. The new law would halt some of the tools Louisiana uses to pay that $3 billion, requiring the state to pour in extra money or let some people go without health insurance.