All four of Utah’s congressional representatives voted for a federal budget framework that health care advocates worry could slash billions of dollars in Medicaid spending in the next decade. But two were emphatic that the budget congressional committees must now propose won’t result in people losing their health care — or necessarily result in cuts to Medicaid.

Rep. David Valadao faces the difficult task of reassuring constituents in his Central Valley district that he will stave off cuts to Medi-Cal, California's Medicaid program.

California’s Medicaid program has borrowed $3.4 billion from the state’s general fund — and will likely need even more — to cover ballooning health expenses for 15 million residents with low incomes and disabilities.