Trump's 2020 budget includes $846 billion in Medicare cuts for the next 10 years, significantly more than the $494 billion he wanted to cut last year. The proposed budget calls for nearly $1.5 trillion in cuts for Medicaid over the next 10 years, with $1.2 trillion of that to be diverted into block grants starting in 2021. What's more, it would eliminate the Medicaid expansion funding under the Affordable Care Act, essentially repealing the program in the three dozen states that took expansion.
