A House Republican bill would require Medicaid recipients to work, volunteer or be enrolled in school for at least 80 hours a month.

House Republicans are proposing work requirements for Medicaid and are planning to limit states’ use of the lucrative provider tax, which some consider a loophole that allows states to increase federal spending on the program.

It sets up a potential showdown with fiscal conservatives, who have pushed their colleagues to overhaul the program and want the final Republican tax package to cut as much money