Senate Republicans are proposing deeper Medicaid cuts, including new work requirements for parents of teens, as a way to offset the costs of making President Donald Trump’s tax breaks more permanent.

President Donald Trump insisted this week his signature policy bill won’t cut Medicaid—a narrative many Republicans have adopted to counter estimates the GOP’s proposed changes to the program could reduce Medicaid spending nearly $800 billion over the next 10 years with new work requirements and a ban on Medicaid for gender-transition care,