TOMS RIVER — As congressional Republicans in Washington debate a sweeping domestic policy bill that could result in cuts to or new restrictions for Medicaid, opposition has come from what might appear to be the most unlikeliest of places: The Ocean County Board of Commissioners.

The legislative proposal in the US House of Representatives seeks to reform Medicaid, promising savings of $715 billion. However, these savings could leave 8.6 million Americans without health insurance by 2034.

New rules would restrict access to the low-income health insurance program, punish states covering undocumented children, and shift costs to states.

Lawmakers bickered, protesters shouted and senators came to take in the moment as a House committee considered a critical portion of a bill to enact President Trump’s domestic agenda.

Democrats bashed Republicans for trying to sneak through Trump's tax bill that would help the rich and hurt the poor in the middle of the night.

Parents of children with disabilities able to live at home with Medicaid coverage say cuts to the program would upend their families.

While it remains to be seen what specific proposals the House and Senate will coalesce around, any changes to the Medicaid program will have an impact on access to women’s health care, including contraception.

Advocates say cuts to Medicaid and SNAP as part of Congress' passed budget bill could mean thousands of Iowans lose benefits.

As Republicans on Capitol Hill debate approving a federal budget, state leaders are carefully watching for potential cuts to Medicaid funding. Medicaid covers medical costs for about 80 million low-income Americans.

New Jersey would lose about $3.6 billion a year in federal Medicaid funding, and more than 300,000 residents would risk losing their health insurance.

More than 7 million people will lose Medicaid coverage over the next 10 years if the bill becomes law, according to the Congressional Budget Office.

With last-minute concessions and stark warnings from President Donald Trump, the Republican holdouts largely dropped their opposition to salvage the “One Big Beautiful Bill” that's central to the GOP agenda.