Senate Republicans are proposing cuts to the Medicaid program for low-income and disabled people that are more aggressive than policies the House passed to help pay for President Donald Trump’s sweeping tax package,

One of the Medicaid changes that’s likely to see the most pushback from other Republicans in the Senate is the Senate Finance Committee’s proposal to lower the provider taxes from 6% to 3.5% by 2031 for states that have expanded Medicaid under the Affordable Care Act. This would not affect nursing homes and intermediate care facilities.

Senate Republicans are taking Medicaid cuts even further than their House counterparts with legislation that targets hospital payments.