Gov. Josh Shapiro warned Wednesday that the Medicaid cuts Congress is considering would mean billions of dollars in lost federal aid to Pennsylvania, hundreds of thousands of people losing access to the health insurance program and more struggling rural hospitals shutting their doors.

Healthcare unions in New York’s North Country are calling on Congress to avoid cuts to Medicaid. Union and hospital officials at Champlain Valley Physicians Hospital on Thursday called directly on Congresswoman Elise Stefanik to stop the proposed GOP cuts in the budget,

New GOP proposals would add work requirements to Medicaid in 2025. Here’s what it means, who’s affected, and how the rules would work.

Republicans are looking to cut Medicaid. That could disproportionately impact Americans under the poverty line and children.