The House is still hammering out the details of a budget proposal, which involves billions of dollars of funding for long-term care interests. One point of disagreement is a provision to tighten rules for qualifying for Medicaid nursing home care.

House members are also concerned about a measure that would require cost sharing for Medicaid beneficiaries. The bill would save nearly $11 billion from Medicaid.

The House should vote on the bill by this Friday, said Rep. Roy Blunt (R-MO). Last week, the House decided to delay a vote on the bill after members could not come to agreement on the package. Republican moderates have clashed with more conservative members over aspects of the package.