President Donald Trump's big budget law is expected to make the largest cuts ever to Medicaid,

a program that currently provides health insurance for some 70 million Americans.

As Lisa Desjardin reports, those effects will be felt in-house Speaker Mike Johnson's home state of Louisiana,

which has one of the highest rates of enrollment in the country.

I bet you you can't swing higher than me.

A show of joy.

Rita, Noel and her son Reese, who's autistic, have a close bond.

But for Rita, neither happiness nor health are givens.

The single mom of three in Morgan City, Louisiana, works part-time and depends on Medicaid for health care.

This is home for my primary care. I come here for all sorts of health care needs.

Her family gets care here at TESH Health, where doctors say Rita is becoming a healthier patient.

Next thing you know, I'm going to be saying, I'll see you back in the year because you're doing off you doing good.

But sometimes it took me to repeat business because I was hard here.

She's among some 1.4 million Louisiana's on Medicaid, the Joint Federal and State Health Program for low-income people and the disabled.

The Republican's big tax cut and spending cut law puts more of the Medicaid

load on states and requires more of patients from work hours to more frequent eligibility checks.

Do you think that your Medicaid is at risk you yourself? I do. And I often worry about that.

She's worried about the additional paperwork falling through the cracks and then... And my grandbaby doesn't get the proper vaccination she needs to be able to survive by here.

You know, my son won't be able to get the services he needs to thrive.

I won't be able to get the services I need in order for me to be healthy.

I have to be healthy in order to, you know, make sure my family is healthy.

And so I'm very concerned.

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