To finance tax cuts, a GOP bill would reduce Medicaid payments to hospitals by $321 billion, hitting both blue and red states hard, a new report calculates.

The Trump administration has touted the president’s tax-and-spending bill as featuring the largest cuts to mandatory spending in the country’s history — a statement backed up by an analysis from the official legislative scorekeeper that Congress has relied on for half a century.

Analysts say some working-class Americans who qualify for Medicaid could lose coverage because of churn from more frequent eligibility checks.