The U.S. Senate is debating details of President Donald Trump’s “Big Beautiful Bill,” which includes controversial cuts to Medicaid.

Republicans believe cuts will reduce federal spending, and Democrats worry it’ll hurt millions of Americans.

The bill imposes stricter eligibility requirements, caps on Medicaid contributions, and incentives to work or volunteer to reduce fraud and misuse of benefits.

5 EYEWITNESS NEWS spoke to a family who depends on Medicaid to help fund their son’s care.

No matter the challenges 2-year-old Mason faces, it’s his contagious smile that’s stronger than any diagnosis.

“He is a very happy, laughing, sweet child. We’re very lucky to be his parents,” Katharine Kaczmarowski, Mason’s mom, said.

But to keep Mason’s smile, his parents explained that he spends a lot of time in the hospital. Their son was born with chronic medical needs.

“I don’t think anything that we could do in our lives would be enough to provide him the support that he can get with Medicaid funding,” Jacob Kaczmarowski, Mason’s father, said.

The family relies on Medicaid for secondary insurance to cover thousands of dollars in medical bills, but a federal bill proposing billions of dollars in Medicaid cuts makes the future of that funding unclear.

“Having to pick and choose what we can afford or what to put our resources towards, it’s a decision no parent wants to make,” Katharine said

About 40,000 Essentia Health patients per month are covered by Medicaid, according to Dr. David Herman, Essentia Health CEO.

RELATED: The GOP’s big bill would bring changes to Medicaid for millions

Essentia Health leaders said funding cuts will not only shatter that safety net, but it will also impact Minnesotans not on Medicaid.

“A cost of that care will now need to be shifted to other people paying the cost of their care, whether that’s commercial insurance people that are paying for their health care or out of their own pocket. All of that money that used to come from Medicaid will be placed upon their bills,” Dr. Herman said.

Essentia Health is one of the leading hospitals in rural Minnesota, where about 1 in 4 people rely on Medicaid.

The CEO said federal funding cuts could lead to a loss of tens of millions of dollars per year at the very least.

He predicts the lack of coverage could lead to an increase in sicker patients, busier emergency rooms, hospital closures and challenges retaining staff.

“The precarious position that many of these facilities find themselves in right now will lead them to a tipping point that’s going to lead to less access to health care and access is critical for health care,” Dr. Herman said. “You need to be able to get to that door, get to that facility in your time of need to receive your care in a timely manner.”

The Kaczmarowski family said any Medicaid cuts will reduce their son’s quality of life.

“These programs allow our son to remain at home, cared for by his parents and to lead a dignified and thriving life as best he can and he will need that help for his entire life,” Katharine said. “To cut it, would be telling families and those people that they’re not valued and that they should struggle.”

The goal is to vote on the “Big Beautiful Bill” by July 4.

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