Of the $16.4 billion annual Medicaid costs for Louisiana, state taxpayers kick in about $3 billion, according to the Legislature. The new law would halt some of the tools Louisiana uses to pay that $3 billion, requiring the state to pour in extra money or let some people go without health insurance.

One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

A 'big, beautiful bill' which is set to be a cornerstone of Donald Trump's administration has been passed in the United States but it has also been slammed as 'ugly' for the cuts to public spending