More than a dozen Republican state legislators warned U.S. Rep. Tom Emmer and other Minnesota party members in Congress against making deep Medicaid cuts, writing in a pointed letter that “this is contrary to how we Republicans respect the aged and the vulnerable.

GOP lawmakers expected to vote soon on slashing the insurance program for low-income people represent tens of millions reliant on it.

In theory, the budget, which kicks off the process of passing an extension of tax cuts enacted in 2017 and up to $2 trillion in spending cuts meant to partly offset them, could become law without significant cuts to Medicaid. But it won’t be easy.