President Trump has long promised not to cut Medicaid, Medicare and Social Security. But in his budget released on Tuesday, he proposes making massive cuts to Medicaid.

Mr. Trump is proposing to cut $610 billion from Medicaid benefits. This could come on top of more than $800 billion in cuts to Medicaid sought in the health care overhaul bill passed by the House on May 4.

Proposed Medicaid cuts

2019 2017 2021 2023 2026 Cuts in the House health bill –10% –20% Possible range of additional cuts from Trump’s budget –30% –40% 2021 2026 2017 2019 2023 Cuts in the House health bill –10% –20% Possible range of additional cuts from Trump’s budget –30% –40%

Mick Mulvaney, the White House budget director, said that there could be some overlap between the cuts proposed by the White House and the cuts in the House bill, but it’s unclear how much. Thus the total decrease in Medicaid spending could range from about a quarter to 45 percent in 10 years.