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

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.

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.