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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U.S. Rep. Mike Collins, R-Ga., was first elected to the House in 2022 after the seat was vacated by U.S. Rep. Jody Hice, who resigned to run for secretary of state. (Alex Brandon/AP 2024)

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Tracy Woodard from InTown Cares (left) and Lauren Hopper from Mercy Care organization work with residents at the Copperton Street encampment in August 2024. 
(Miguel Martinez / AJC)

Credit: Miguel Martinez