One federal program pays for a nursing home room for a woman in Cumming, a job coach for a disabled man in Toco Hill, and regular medical care for a Savannah pediatrician's child clients: Medicaid. It's sprawling program that conservatives say has grown too big.

Senate GOP leaders left for the July 4 holiday week set back by opposition to their plan to repeal Obamacare, the federal health care law, but determined to negotiate a compromise.

If they succeed, one thing that's likely to stay in the bill one way or another is fundamental changes to Medicaid, and substantial cutbacks. Read the full story of what's at stake for Georgians here. Beneficiaries of the program fear they will be pitted against each other for what remains of the budget. Taxpayers concerned about the deficit say something must be done.

Senate Health Care Bill: What You Need to Know

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State Election Board Vice Chair Janice Johnston speaks during an election board meeting at the Capitol in Atlanta on Wednesday, Dec. 10, 2025. (Arvin Temkar / AJC)

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Students line up after school for school buses at Sequoyah Middle School in Doraville on Wednesday, Dec. 10, 2025. The school’s principal told teachers not to talk to students about ICE, and teachers and activists are pushing back. (Arvin Temkar/AJC)

Credit: arvin.temkar@ajc.com