House Republican leaders are barreling ahead with a vote early next week on their all-in-one budget framework designed to knock out a huge swath of President Donald Trump’s legislative priorities in one filibuster-proof basket.

Some Republicans have raised concerns about potential cuts to anti-poverty programs that their constituents rely on as they search for ways to pay for Trump’s legislative agenda.

For Representative David Valadao of California and other Republicans whose constituents depend on Medicaid, a vote for their party’s budget could be politically fatal. President Trump’s agenda hangs in the balance.