Senate Republicans are defending their changes to federal Medicaid spending in their final push to pass President Donald Trump’s budget reconciliation bill before Independence Day, arguing that the bill does not technically cut the health insurance program for disabled and low-income people.

Specific changes to SNAP and Medicaid — and other provisions in the bill — could have significant impacts in Texas.

One in four Pennsylvania residents is covered by Medicaid, which is poised for cuts under President Donald Trump’s first major policy package, “The Big Beautiful Bill."