Republicans are seeking to limit a tax loophole that gives states more federal matching funds. Many state budgets could be hurt.

Senate Republicans have unveiled a sweeping plan to overhaul the Medicaid program, with changes policy analysts warn could lead to even greater coverage losses and pain for hospital systems than the aggressive proposal passed by the House of Representatives last month.

The highly anticipated text from the Senate is out — and it's already causing concern from GOP stakeholders in both chambers.

The proposal would salvage some clean-energy tax credits and phase out others more slowly, making up some of the cost by imposing deeper cuts to Medicaid than the House-passed bill would.