The House’s sweeping budget plan to advance President Donald Trump’s agenda could result in steep cuts to Medicaid and food stamps, putting a key group of Republicans in a politically difficult position ahead of a potential vote next week in the narrowly divided chamber.

Those people are covered today thanks to Ohio’s 2013 decision via Gov. John Kasich to extend Medicaid – a social safety net program jointly funded by the federal and state government – to those earning up to 138% of the federal poverty line. For a family of four, that’s about $44,000 per year.