Republicans are steering clear of dramatic Medicaid cuts in their spending bill, instead opting for smaller changes backed by moderate and swing-state members who had balked at the prospect of slashing a program that covers more than 70 million low-income and disabled Americans.

House Republicans on Tuesday will seek to reverse the trend of rising Medicaid spending with reforms some fiscal hawks say don’t go far enough and Democrats have decried as too harsh. The House Energy and Commerce Committee will hold a markup hearing Tuesday afternoon on a significant healthcare section of President Donald Trump’s agenda,