Rep. David Valadao faces the difficult task of reassuring constituents in his Central Valley district that he will stave off cuts to Medi-Cal, California's Medicaid program.

Lawmakers have taken Medicare off the table for cuts, which makes it impossible to reach $880 billion without cutting Medicaid.

California’s Medicaid program has borrowed $3.4 billion from the state’s general fund — and will likely need even more — to cover ballooning health expenses for 15 million residents with low incomes and disabilities.