The president’s record shows a consistent openness to Medicaid cuts, which would seem required for his big goal of extending tax cuts.

Congressional Republicans and President Donald Trump are hurtling toward a collision over tax reform, exposing a growing ideological rift over healthcare spending that could threaten the president’s legislative agenda in its entirety.

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.