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.

Through persuasion and browbeating, Trump forced nearly all congressional Republicans to line up behind his marquee legislation despite some of its unpalatable pieces.

A 'big, beautiful bill' which is set to be a cornerstone of Donald Trump's administration has been passed in the United States but it has also been slammed as 'ugly' for the cuts to public spending