House Republicans have unveiled the cost-saving centerpiece of President Donald Trump’s “big, beautiful bill.”

And as is typical with grisly compromises, neither side is necessarily happy with the product.

Millions of Americans could lose their Medicaid coverage under Republican plans to vastly cut federal spending. Lawmakers on the House Committee on Energy and Commerce, which has jurisdiction over Medicaid, are mulling over changes to the health care insurance program that benefits more than 70 million Americans nationwide.

Energy and Commerce Republicans’ plans also include more frequent eligibility checks: every six months instead of the current every 12 months standard for the Medicaid expansion population.

The Congressional Budget Office estimates the cuts will lead to 8.6 million people losing coverage over the next decade.