Jonathan Riviera had to get his foot, and part of his leg, amputated in January. Riviera lives in Florida—one of ten states which has declined federally backed Medicaid expansions through the Affordable Care Act, meant to patch state-level coverage gaps and allow more low-income people to qualify for care.

Although President Donald Trump promised to “love and cherish” Medicaid, Republicans have announced budget proposals that could dramatically curtail the program