The future for the reconciliation bill in the U.S. House of Representatives, which Republicans control, but by a slim margin, is up in the air. On Friday, GOP hardliners, who want deep cuts to Medicaid and federal clean energy programs, voted to block the measure in a critical committee.

Gov. Josh Shapiro warned Wednesday that the Medicaid cuts Congress is considering would mean billions of dollars in lost federal aid to Pennsylvania, hundreds of thousands of people losing access to the health insurance program and more struggling rural hospitals shutting their doors.