COLUMBIA — South Carolina legislators have approved a $5.2 billion state budget that cuts spending on Medicaid, public schools and colleges.

The approval on a voice vote Thursday sends the budget to the House floor for debate March 15.

The measure’s approval came after the Department of Health and Human Services slashed $230 million from an initial request of what it said was needed to keep the state’s Medicaid programs running. About $125 million of that is tied to paying doctors and hospitals less to care for the state’s elderly, disabled and poor.

Public schools would lose at least $74 million and colleges more than $16 million.