Congressional Republicans are moving forward on the budget reconciliation process, which allows them to bypass Senate procedures to quickly codify President Donald Trump‘s agenda. But Democrats are hammering Republicans over several billions of dollars in projected cuts they say will run right through Medicaid and Medicare.

“The ads highlight how House Republicans are threatening health care for nearly 80 million people, and urge Americans to call on their representatives to ‘stand up for us, not billionaires,’” the House Majority Forward PAC said in a release.

The ads target several vulnerable members in competitive swing districts, including freshman lawmakers such as Reps. Nicholas Begich (R-AK), Rob Bresnahan (R-PA), Ryan Mackenzie (R-PA), Tom Barrett (R-MI), and Gabe Evans (R-CO).

Reps. Bryan Steil (R-WI) and Scott Perry (R-PA), two members in safer red districts that Democrats unsuccessfully tried to flip in the 2024 cycle, are also targets of the ads.

A transcript from one of the ads targets Republicans for wanting to threaten healthcare to “cut another big check to billionaires” — a common talking point Democrats have leaned into since the start of the new Congress and Trump’s inauguration, for which billionaires such as Elon Musk and Mark Zuckerberg had a front-row seat.

On the other side, Republicans and Trump have brushed off Democrats’ “hysteria” and insisted that the budget resolution “not once” mentions Medicaid in writing.

However, a handful of House GOP lawmakers held out on passing the budget resolution last week over concerns that the $880 billion in cuts from the Energy and Commerce Committee, which oversees Medicaid, would include the beneficiary program.

Projections for the 2026 midterm elections, in which the House historically flips to the party opposite that in the White House, show that Democrats will be on defense with 39 competitive seats to the GOP’s 29.

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Among the most competitive Democratic seats are 13 districts Trump won in 2024 but a Democrat held onto, such as Reps. Jared Golden (D-ME), Marie Gluesenkamp Perez (D-WA), and Marcy Kaptur (D-OH). Other competitive races include the districts held by Reps. Derek Tran (D-CA) and Laura Gillen (D-NY) — areas won by former Vice President Kamala Harris in the 2024 election and flipped from red to blue by the lawmakers.

Republicans hold a razor-thin majority, with House Speaker Mike Johnson (R-LA) currently able to lose one vote to pass legislation along party lines. With all members sitting and vacancies filled, that number only bumps up to a two-seat majority, meaning that Democrats only need to pick up three seats to secure a majority in the 2026 midterm elections.