BOSSIER CITY, La. — The sweeping megabill pushed through Congress by House Speaker Mike Johnson could have some of its deepest consequences in his rural Louisiana district, where more than a third of residents are enrolled in Medicaid , according to data from the health information nonprofit KFF.

Thousands of residents who rely on the program that provides health coverage to low-income Americans could lose those benefits — and the federally qualified health centers that serve them could risk closure if they lose the current levels of revenue generated from Medicaid reimbursements.

Statewide, over 200,000 Louisianans could lose coverage under the law.

Constituent concerns

Some people who receive Medicaid now worry that even though they have occasional work, they may face challen

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