Mick Mulvaney, director of the Office of Management and Budget, while introducing the budget Tuesday: There are no Medicaid cuts in the terms of what ordinary human beings would refer to as a cut. [...] even before delving into the budget, the Trump-supported rollback of President Barack Obama's health care law would reduce federal money that 31 states and Washington, D.C., have relied on to extend coverage to low-income adults under Medicaid. Additionally, the Republican health care bill passed by the House would cap the overall federal share of Medicaid spending. The Trump budget could compound those restrictions by reducing the rate of growth in federal Medicaid funding even more. While Mulvaney gets the basic measure correct, his claim about the debt relative to growth is also suspect because of the administration's economic assumptions, which include an overly optimistic projection of economic growth.