Republicans worried about losing their slim House majority next year are struggling with how to achieve Medicaid savings as even more Americans rely on the program.

Republicans on the House Energy and Commerce Committee on Wednesday afternoon advanced legislation containing cuts to Medicaid and health care provisions — some of the most controversial and

G.O.P. lawmakers from swing districts face tough votes as soon as next week, when key House panels are scheduled to consider legislation that would cut popular programs to pay for President Trump’s agenda.