The Medicaid portion of the House GOP’s massive domestic policy bill would result in 10.3 million people losing Medicaid coverage by 2034 and 7.6 million people going uninsured, according to a partial (CBO) Congressional Budget Office estimate.

House Republicans are proposing work requirements for Medicaid and are planning to limit states’ use of the lucrative provider tax, which some consider a loophole that allows states to increase federal spending on the program.