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.

House Republicans propose significant Medicaid cuts in their new budget resolution, sparking concerns even among GOP members.

President Donald Trump’s endorsement of the House budget resolution as his preferred path to pass an extension of his 2017 tax cuts, border security funding and other parts of his agenda would likely require deep cuts to Medicaid,