While a majority of House Republicans appear to be on board with changes to Medicaid, especially those in deeply conservative districts, Republican senators who serve broader statewide constituencies that include independents and Democrats have been slower to join the band wagon.
One proposal would scale back a 90% federal matching rate for Medicaid recipients covered through the Affordable Care Act to medical assistance rates available to traditional Medicaid beneficiaries, which vary between 50% and 77%.
"I'm in conversation right now with my state to see what kind of impacts that might have," said Republican Senator Shelley Moore Capito, adding that she is wary of Medicaid changes.
About 28% of Capito's home state, West Virginia, is enrolled in Medicaid or a related program for low-income children, according to the non-partisan Kaiser Family Foundation.