President Donald Trump's fellow Republicans in the U.S. Congress are weighing steep cuts to the Medicaid health program as part of a wide-ranging budget package that also would cut taxes and raise spending on defense and border security.

Bowser (D), her staff and health-care providers have been lobbying Congress for months to stave off Medicaid cuts that one top city official said would amount to “Armageddon” for low-income residents and wreak havoc on the region’s health network.

Medicaid has grown significantly since 2010, when Democratic President Barack Obama's Affordable Care Act, also known as Obamacare, expanded coverage to include childless adults who earn slightly more than poverty wages. The Supreme Court made this expansion optional for states, and 41 have opted in.