State leaders and healthcare officials are pushing back against proposed cuts to Medicaid. The possible program overhaul is part of the U.S. House GOP’s goal to slash federal spending by $2 trillion over a decade.

A budget blueprint approved by the House this week is expected to cut billions in federal Medicaid spending as part of a plan to help renew and fund new and existing tax cuts. Republicans in Congress say there won’t be direct cuts to the millions of low-income adults and children in the U.