When Congress passed President Trump’s signature domestic policy bill last month, Republicans voted to take health care coverage away from about 10 million people. In the past, Republicans have typically shied away from promoting plans to end health benefits for millions. But in this case, they openly boasted about part of it.

About half of the 10 million will lose coverage because of a new requirement that people who enroll in Medicaid prove that they are working, looking for work or unable to work. The new policy will cut Medicaid spending by $325 billion over the next decade, funds that will be used to finance President Trump’s tax cuts for the wealthy.

“They are choosing not to work when they can,” House Speaker Mike Johnson told CNN earlier this year, describing the people who would lose coverage. “That is called fraud; they are cheating the system.”

John Thune, the Senate majority leader, said in June that “Democrat senators here in Washington are melting down because Republicans are daring to focus limited Medicaid dollars on American citizens and those most in need.” He described work requirements as a “common-sense reform.”