Millions of Americans could lose their Medicaid coverage in 2023, once the $1.7 trillion omnibus spending bill goes into full effect, according to The Wall Street Journal.

As a potential consequence, the Journal reports Medicaid's enforcement rules might require tweaking, as congressional Democrats and the Biden White House work to "steer eligible people" to other types of coverage.

States that previously received extra Medicaid funding under a 2020 COVID-19 relief bill reportedly had to agree to pause beneficiaries' eligibility verifications. 

And the "continuous enrollment" portion of the state-federal program for the low income and disabled would expire once the federal government's COVID health emergency has been declared over, which could occur sometime in 2023, the Journal reports.