It would impose work requirements for low-income adults to receive Medicaid health insurance and increase them for food assistance as well as cut funding for services like birth control to the nation’s biggest abortion provider. Supporters of the bill say the moves will save money, root out waste and encourage personal responsibility.

The House-approved budget bill includes proposals for significant spending cuts to Medicaid and new work requirements.

Last-minute changes to the GOP budget plan that House Republicans voted through early Thursday morning may have a wider impact on Medicaid coverage for mental health services. More than 70 million Americans rely on government programs like Medicaid for healthcare.