Trump has shied away from threatening Medicaid cuts outright due to the onslaught of disagreement from many of his own MAGA supporters. On Tuesday, he visited Capitol Hill urging Republicans to immediately unite behind the bill and assured them that he was focused on “saving” Medicaid.

The party’s leaders in the House face some difficult trade-offs in their effort to pass by the end of the week a measure that would reduce taxes and trim Medicaid.