They say congressional Republicans' talk of cutting trillions from Medicaid leaves the state with a dire choice: cut coverage for 630,000 low-income Virginians or pick up a bill of $2.5 billion a year.

With President Donald Trump back in the White House and congressional Republicans eying Medicaid cuts, Virginia Democrats are moving to safeguard the state’s health care safety net.

Illinois has a “trigger” law that would automatically end Affordable Care Act Medicaid expansions in the state if federal funding is cut — which means 931,169 Illinoisans would lose their health coverage.