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.

The lawmakers said the House budget is merely symbolic even though it lays the groundwork for big policy changes.

Their just-passed budget proposal pretty clearly requires cutting Medicaid, and that’s a big political problem.