The president is threatening to withhold his endorsement from Republican senators who oppose the $9.4 billion package of cuts.

Senator John Thune of South Dakota, the chamber's Republican majority leader, told reporters the Senate could take up the bill as soon as Tuesday. "I'm not sure that I have an exact time and day and all that.

Medicaid helps pay for 41% of births in the U.S., according to Kaiser Family Foundation. In rural communities, it covers nearly half. President Trump's new spending bill cuts Medicaid's federal funding and largely leaves it up to the states to decide if and how to supplement care.

The bill introduces a Medicaid work requirement, higher out-of-pocket costs and limits retroactive coverage. It also restricts Medicaid eligibility for some noncitizens, including refugees. U.S. President Donald Trump’s massive tax cut and spending bill could end Medicaid coverage for 310,

The giant tax and spending bill President Donald Trump signed into law over the weekend includes the biggest health care spending cuts in U.S. history. In response, states are scrambling to shield their hospitals from the looming loss of hundreds of millions in federal funding.