House Republicans have unveiled the cost-saving centerpiece of President Donald Trump’s “big, beautiful bill.”

Republicans' proposed Medicaid cuts will cause 8.6 million people to lose health insurance by 2034, an estimate shows. Kentucky Gov. Andy Beshear said it will cost Republicans seats in Congress.

Some changes House Republicans are proposing include new "community engagement requirements" of at least 80 hours per month of work, education, or service for able-bodied adults without dependents.

Democrats who warned taking $625 billion out of Medicaid would harm providers and patients attracted no Republican support for amendments to soften the bill.

Looming cuts to Medicaid are much greater, with the federal Congressional Budget Office projecting this week that some 8.6 million Americans could lose Medicaid coverage in the coming decade with at least another 5.1 million losing expanded Affordable Care Act Medicaid coverage due to new restrictions, including work requirements.

Central to the savings are changes to Medicaid, which provides almost free health care to more than 70 million Americans, and the Affordable Care Act,

Three key panels are addressing some of the thorniest issues poised to make or break the Republicans' massive bill for Trump's agenda.

Republicans and Democrats grew weary in the early hours of Wednesday morning on Capitol Hill as they slogged through at-times contentious debate over provisions in President Donald Trump’s sweeping tax and spending cuts package.