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.

House Republicans unified around their budget plan on Tuesday, delivering a significant win to House Speaker Mike Johnson (R-La.) and President Donald Trump. The budget resolution calls for $4.5 trillion in tax cuts and $1.

The House budget bill that passed does not include specific policies, and targeted spending cuts are too big to achieve without cutting Medicaid.