GOP lawmakers in swing districts insist they will not vote for any proposal that strips benefits, placing them at odds with more conservative lawmakers looking to secure deep cuts in spending.

President Donald Trump’s “big beautiful bill” is running into a wall in the sharply divided House Republican conference, with tensions spiking over Speaker Mike Johnson’s handling of the party’s biggest sticking point: overhauling Medicaid.

When it comes to Medicaid, Rep. Juan Ciscomani is telling fellow Republicans he won't support steep cuts that could hit thousands of residents in his Arizona district — “my neighbors, people my kids go to school with” — who depend on it.