For Representative David Valadao of California and other Republicans whose constituents depend on Medicaid, a vote for their party’s budget could be politically fatal. President Trump’s agenda hangs in the balance.

Republicans are weighing billions of dollars in cuts to Medicaid, threatening health care coverage for some of the 80 million U.S. adults and children enrolled in the safety net program. Millions more Americans signed up for taxpayer-funded health care coverage like Medicaid and the Affordable Care Act's marketplace during the

Eighty million U.S. adults and children are currently enrolled in the nearly-free health care coverage offered to the poorest Americans.