Republicans tax bill will cut $1 trillion from Medicaid and Affordable Care Act insurance plans. Nearly 12 million people to lose health insurance.

Sharp Medicaid cuts could result in vulnerable Americans no longer being able to receive care, either by losing coverage or by closing the centers that provide such care.

Of the $16.4 billion annual Medicaid costs for Louisiana, state taxpayers kick in about $3 billion, according to the Legislature. The new law would halt some of the tools Louisiana uses to pay that $3 billion, requiring the state to pour in extra money or let some people go without health insurance.