Justice voted for the megabill last week, despite his concerns over some of its Medicaid provisions — and after warning Republicans “cannot cut into the bone.” Steep cuts, he said, would cost the GOP voters and lead the party to “awaken to [being in the] minority.”

It also takes aim at Medicaid, the federal and state health program that covered 78.6 million low-income children and adults as of March 2025, according to the Centers for Medicare & Medicaid Services.