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.

Minnesota’s Republican congressional delegation all voted to approve the U.S. House’s budget proposal Tuesday night, a vote some state Republican legislators attempted to inform when they urged their federal colleagues to consider the expected harm to Minnesota from Medicaid cuts.

As a Republican proposal moves forward for sweeping cuts to Medicaid, doctors in Minnesota say it would harm “the backbone of our health care system.”