President Donald Trump's spending bill is set to raise administrative costs and make managing costs more difficult for insurers like UnitedHealthcare and CVS Health's Aetna that operate Medicaid health plans,

When Michelle Lawrence heard about Medicaid cuts in the Republican tax and spending bill, it felt like “a punch to the gut.”

The Senate has until Friday to act on the rescissions package - a request to claw back $8.3 billion in foreign aid funding and $1.1 billion for public broadcasting - or the request will expire and the White House will be required to adhere to the spending plans passed by Congress.