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.

Dan Newhouse followed House Republicans in passing a budget plan Tuesday night that could set the stage for deep cuts to Medicaid, the public health care program used by millions of Americans. More than one in three Central Washington residents — about 37%,

The U.S. House voted to approve a budget framework that could lead to more than $800 billion in cuts to Medicaid, an amount that would ravage the nation's disability services, advocates say.