Republicans and Democrats grew weary in the early hours of Wednesday morning on Capitol Hill as they slogged through at-times contentious debate over provisions in President Donald Trump’s sweeping tax and spending cuts package.

Preliminary estimates predict at least 8.6 million people would lose their health insurance while saving at least $715 billion over the next decade.

Tensions rose and emotions flared as the hours dragged on into early Wednesday morning. House Republicans are working to push President Donald Trump’s signature legislative package through a gauntlet of committees and mounting opposition from Democrats, advocacy groups and even some wary Republicans themselves.

The Republican-led House has unveiled a sweeping 160-page legislative proposal aimed at overhauling Medicaid. This initiative seeks to tighten eligibility, introduce work requirements, and alter federal funding structures,

The monthslong effort to reduce Medicaid spending enough to help offset costs of the single bill that includes President Donald Trump’s legislative agenda comes to a head Tuesday

Republicans are scrambling to find creative ways to fulfill budget cuts they voted on without gutting Medicaid.