House legislators are set to approve a mammoth budget that requires $2 trillion in spending cuts to clear room for a tax cut package by the end of the year.

Four Republican senators voted against the final measure because it raised the gasoline tax, something they viewed as going against the GOP’s core ideology.

The Senate plan, passed last week, does not include Medicaid cuts. The Senate budget resolution omits tax policy but sets the spending agenda to enact Trump’s border, defense and energy policies, punting negotiations on tax policy to a later date and breaking up the spending plan into two separate measures.

President Trump cautioned House Republicans crafting a budget framework about cutting Medicaid, with some seeing a juicy target and others worried about angering voters.

Riviera lives in Florida—one of ten states which has declined federally backed Medicaid expansions through the Affordable Care Act, meant to patch state-level coverage gaps and allow more low-income people to qualify for care.