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.

The stakes are particularly high for Louisiana, which has one of the highest per-capita percentages of residents on Medicaid — more than a third of them. The program pays for health care for pregnant women, children, elderly, disabled, and working adults who rely on the state-federal healthcare insurance.

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.