Some Republicans have raised concerns about potential cuts to anti-poverty programs that their constituents rely on as they search for ways to pay for Trump’s legislative agenda.

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 proposing deep cuts to Medicaid to finance tax cuts and other priorities. Pushback is coming not only from Democrats, but also from hospitals that rely on revenue from the program.