Some Republicans in the Minnesota Legislature sounded the alarm about potential federal cuts to Medicaid, which could be at risk after the U.S. House passed a budget framework that includes slashing federal spending.

More than a dozen Republican state legislators warned U.S. Rep. Tom Emmer and other Minnesota party members in Congress against making deep Medicaid cuts, writing in a pointed letter that “this is contrary to how we Republicans respect the aged and the vulnerable.

The U.S. House on Tuesday, Feb. 25, passed a budget proposal that includes $4.5 trillion in tax cuts and $2 trillion in reduced federal spending over a decade. Among the proposals in the budget to accomplish these tax breaks and spending reductions are proposed cuts to Medicaid and a potential gutting of the Affordable Care Act,