GOP lawmakers in swing districts insist they will not vote for any proposal that strips benefits, placing them at odds with more conservative lawmakers looking to secure deep cuts in spending.

When it comes to Medicaid, Rep. Juan Ciscomani is telling fellow Republicans he won't support steep cuts that could hit thousands of residents in his Arizona district — “my neighbors, people my kids go to school with” — who depend on it.

Republicans will have to find a way make up for hundreds of billions in potential Medicaid cuts that leaders appeared to rule out Tuesday.