The sprawling reconciliation package that House Republicans are rushing through committee would trigger over $500 billion in automatic cuts to Medicare, according to a Congressional Budget Office estimate released late Tuesday.

The Republican bill proposes kicking 8.6 million Americans off Medicaid over the next 10 years, according to the Congressional Budget Office, though that figure could be the tip of the iceberg if the caucus successfully adds work requirements to the public health insurance program.

President Trump met with congressional Republicans on Capitol Hill and said that their tax cut bill's Medicaid changes are focused on cutting fraud, waste and abuse.

The bill, which must still win Senate approval and a presidential signature, would have a broad impact on state residents' daily lives.