Different provisions of the GOP tax and spending bill will kick in over the next year or so. Many are set to expire just before Trump's term ends.

After weeks of deliberation, the Senate passed its version of the Trump tax bill on Tuesday. In the approved package, there are several major changes to Medicaid, which would lead to deeper spending cuts than the version passed by the House.

Reps. Jen Kiggans and Rob Wittman have both expressed concern over how much further the Senate version of the reconciliation bill goes in cutting Medicaid than the House version they both backed.