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.

Florida doesn’t have as many residents on Medicaid as it could because it hasn’t implemented an Obamacare provision that would allow more low-income people to enroll in the program. Even so, Floridians could be affected by cuts to Medicaid, which is funded jointly by the state and federal government.

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.