Working-age adults who live in small towns and rural areas are more likely to be covered by Medicaid than their counterparts in cities, creating a dilemma for Republicans looking to make deep cuts to the health care program.

Rep. David Valadao faces the difficult task of reassuring constituents in his Central Valley district that he will stave off cuts to Medi-Cal, California's Medicaid program.

A Republican House resolution, which needs the Senate’s buy-in, directed a committee to propose ways to reduce the deficit by at least $880 billion over a decade. Lawmakers have taken Medicare off the table for cuts,