The bill delivers hundreds of billions for new military funding and allows increased spending on immigration enforcement.

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.

The House of Representatives approved the fiscal year 2026 federal budget bill, commonly referred to as "one big, beautiful bill," with a 218 to 214 vote on Thursday afternoon.