SPRINGFIELD, Ill. (AP) — Illinois health care experts say the state would face a $40 billion loss in federal Medicaid support under a health care overhaul proposed by congressional Republicans.

Three state House committees heard testimony Thursday from health care experts about how major changes to Medicaid outlined in the American Health Care Act would impact Illinois recipients. President Donald Trump supports the plan as a replacement for the Affordable Care Act.

Experts testified that the $40 billion reduction would come over the act’s 10-year lifespan. That figure is based on recent estimates from the Congressional Budget Office.

Democratic state Rep. Greg Harris of Chicago chairs the appropriations committee for human services. He says a quarter of Illinois citizens receive Medicaid benefits and they could be affected.

Illinois currently spends $10 billion each year on Medicaid.