Louisiana’s reliance on federal funds for half of the state budget leaves it vulnerable as President Donald Trump and congressional leaders push for substantial cuts in federal spending.

The stakes are particularly high for Louisiana, which has one of the highest per-capita percentages of residents on Medicaid — more than a third of them. The program pays for health care for pregnant women, children, elderly, disabled, and working adults who rely on the state-federal healthcare insurance.

A government health care program in Florida that covers 4.2 million vulnerable people is facing the prospect of an overhaul under the House’s plans for implementing President DONALD TRUMP’s agenda. The budget resolution House Republicans passed Tuesday night directs the Energy and Commerce Committee to cut $880 billion over a decade from Medicaid and other similar programs.