The Republican bill proposes kicking 8.6 million Americans off Medicaid over the next 10 years, according to the Congressional Budget Office, though that figure could be the tip of the iceberg if the caucus successfully adds work requirements to the public health insurance program.

House Republicans were jubilant after muscling through President Donald Trump’s “big, beautiful” tax and immigration package by a single vote.

Without the tax credits, the New Jersey Department of Banking and Insurance estimated a family of four in Ocean County with a household income of $131,386 will see a premium increase of $20,189 for t...