A government health care program in Florida that covers 4.2 million vulnerable people is facing the prospect of an overhaul under the House’s plans for implementing President DONALD TRUMP’s agenda. The budget resolution House Republicans passed Tuesday night directs the Energy and Commerce Committee to cut $880 billion over a decade from Medicaid and other similar programs.

Medicaid is a healthcare program that covers 72 million Americans. In the latest congressional budget bill, lawmakers are seeking to make deep cuts to federally funded programs in the U.S. Medicaid is one of those programs.

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.