President Trump’s first major budget proposal on Tuesday will include massive cuts to Medicaid and call for changes to anti-poverty programs that would give states new power to limit a range of benefits, people familiar with the planning said, despite growing unease in Congress about cutting the safety net.

For Medicaid, the state-federal program that provides health care to low-income Americans, Trump’s budget plan would follow through on a bill passed by House Republicans to cut more than $800 billion over 10 years. The Congressional Budget Office has estimated that this could cut off Medicaid benefits for about 10 million people over the next decade.

The White House also will call for giving states more flexibility to impose work requirements for people in different kinds of anti-poverty programs, people familiar with the budget plan said, potentially leading to a flood of changes in states led by conservative governors. Many anti-poverty programs have elements that are run by both the states and federal government, and a federal order allowing states to stiffen work requirements “for able-bodied Americans” could have a broad impact in terms of limiting who can access anti-poverty payments — and for how long.

Numerous social-welfare programs grew after the financial crisis, leading to complaints from many Republicans that more should be done to shift people out of these programs and back into the workforce. Shortly after he was sworn in, Trump said, “We want to get our people off welfare and back to work. . . . It’s out of control.”

Trump’s decision to include the Medicaid cuts is significant because it shows he is rejecting calls from a number of Senate Republicans not to reverse the expansion of Medicaid that President Barack Obama achieved as part of the Affordable Care Act. The House has voted to cut the Medicaid funding, but Senate Republicans have signaled they are likely to start from scratch.

The proposed changes will be a central feature of Trump’s first comprehensive budget plan, which will be the most detailed look at how he aims to change government spending and taxes over his presidency. Although Trump and his aides have discussed their vision in broad brushes, this will be the first time they attempt to put specific numbers on many aspects of those plans, shedding light on which proposals they see making the biggest difference in reshaping government. Congress must approve of most changes in the plan before it is enacted into law.

Trump offered a streamlined version of the budget plan in March, but it dealt only with the 30 percent of government spending that is appropriated each year. In that budget, he sought a big increase in military and border spending combined with major cuts to housing, environmental protection, foreign aid, research and development.

But Tuesday’s budget will be more significant, because it will seek changes to entitlements — programs that are essentially on auto­pilot and don’t need annual authorization from Congress. The people describing the proposals spoke on the condition of anonymity because the budget had not been released publicly and the White House is closely guarding details.

The proposed changes include the big cuts to Medicaid. The White House also is expected to propose changes to the Supplemental Nutrition Assistance Program, though precise details couldn’t be learned. SNAP is the modern version of food stamps, and it swelled following the financial crisis as the Obama administration eased policies to make it easier for people to qualify for benefits. As the economy has improved, enrollment in the program hasn’t changed as much as many had forecast.

An average of 44 million people received SNAP benefits in 2016, down from a peak of 47 million in 2013. Just 28 million people received the benefits in 2008.

SNAP could be one of numerous programs impacted by changes in work requirements.

Josh Archambault, a senior fellow at the Foundation for Government Accountability, a conservative think tank, said that giving states the flexibility to impose work requirements could lead to a raft of changes to programs ranging from Medicaid to public housing assistance.

“One of the encouraging things about putting this in the budget is that states will see if it works,” he said. “States will try it.”

SNAP already has a work requirement, which typically cuts benefits for most able-bodied adults who don’t have children. But states were given more flexibility during the recent economic downturn to extend the benefits for a longer period, something that split conservatives at the time.

Michael Tanner, a welfare expert at the libertarian Cato Institute, said the U.S. government spends between $680 billion and $800 billion a year on anti-poverty programs, and considering wholesale changes to many of these initiatives is worthwhile, given questions about the effectiveness of how the money is spent.

‘We’re not seeing the type of gains we should be seeing for all that spending, and that would suggest its time to reform the system,” he said.

Many critics have said work requirements can include blanket ultimatums that don’t take into account someone’s age, physical or cognitive ability, or limitations put in place by the local economy. Benefits from these programs are often low, and hardly replace the income someone would earn from a job. And critics of stricter work requirements also believe it could pave the way for states to pursue even stricter restrictions, such as drug tests, that courts have often rejected.

After The Washington Post reported some of the cuts Sunday evening, Senate Minority Leader Charles E. Schumer (D-N.Y.) said Trump was pulling “the rug out from so many who need help.”

“This budget continues to reveal President Trump’s true colors: His populist campaign rhetoric was just a Trojan horse to execute long-held, hard-right policies that benefit the ultra wealthy at the expense of the middle class,” he said.

The proposed changes to Medicaid and SNAP will be just some of several anti-poverty programs that the White House will look to change. In March, the White House signaled that it wanted to eliminate money for a range of other programs that are funded each year by Congress. This included federal funding for Habitat for Humanity, subsidized school lunches and the U.S. Interagency Council on Homelessness, which coordinates the federal response to homelessness across 19 federal agencies.

Leaked budget documents, obtained by the think tank Third Way, suggested other ways the White House plans to change anti-poverty funding. These documents show a change in the funding for Social Security’s Supplemental Security Income program, which provide cash benefits for the poor and disabled. It’s unclear, though, what those changes might look like. A White House official said the Third Way document was out-of-date and would not comment on specifics in their files.

Medicaid, SNAP and the SSI program are now classified as “mandatory” spending because they are funded each year without congressional approval.

Trump has instructed his budget director, former South Carolina congressman Mick Mulvaney, that he does not want cuts to Medicare and Social Security’s retirement program in this budget, Mulvaney recently said, but the plan may call for changes to Social Security Disability Insurance, seeking ideas for ways to move people who are able out of this program and back into the workforce.

A key element of the budget plan will be the assumption that huge tax cuts will result in an unprecedented level of economic growth. Trump recently unveiled the broad principles of what he has said will be the biggest in U.S. history, and Treasury Secretary Steven Mnuchin told a Senate panel last week that these tax cuts would end up creating trillions of dollars in new revenue, something budget experts from both parties have disputed.

The tax cuts would particularly benefit the wealthiest Americans, as Trump has proposing cutting the estate tax, capital gains and business tax rates.

“The indications are strong this budget will feature Robin-Hood-in-reverse policies in an unprecedented scale,” said Robert Greenstein, president of the Center on Budget and Policy Priorities, a left-leaning think tank.

The White House will use its presumed new revenue from the tax cuts combined with broad spending cuts to claim that its changes would eliminate the budget deficit over 10 years. The budget deficit is the gap between government spending and tax revenue, and there has been a deficit in the United States every year since the end of the Clinton administration.

But the Trump administration on Tuesday will say its plan to cut spending, roll back regulations and cut taxes will bring the United States back to economic growth levels that represent about 3 percent of gross domestic product.

Mulvaney told the Federalist Society last week that the economic growth is needed to balance the budget, because spending cuts alone would be seen as too draconian.

“I think we’ve trained people to be immune to the true costs of government,” Mulvaney said. “People think government is cheaper than it is because we’ve allowed ourselves to borrow money for a long period of time and not worry about paying it back.”

Combined, the tax cuts and spending cuts on anti-poverty programs would signal a sharp reversal of Obama’s legacy by pursuing big tax cuts for the wealthiest Americans, a large increase in military spending and major changes to anti-poverty programs.

Its premise is that the creation of more wealth will help all Americans succeed, and the Trump administration believes that some anti-poverty programs have created a culture of dependency that prevents people from re-entering the workforce.

White House budget proposals are a way for an administration to spell out its priorities and goals, setting benchmarks for Congress to work with as they decide how much spending to authorize. Trump has an advantage working with two chambers of Congress controlled by his own party, but even many Republicans have said they won’t back the severity of some of the cuts he has proposed, particularly in the areas of foreign aid.

Ron Haskins, a senior fellow at the Brookings Institution, who played a lead role in drafting the 1997 welfare changes in Congress, said Trump will need to find new support from Republicans in Congress if he is going to achieve the welfare-related overhauls he’s seeking.

“I don’t think the Republicans on the Hill are going to feel a strong compulsion to follow the president,” Haskins said. “They are not afraid of him.”

In addition to the myriad cuts, the budget will include some new spending.

Beyond an increase in the military budget and new money for border security, the White House is expected to call for $200 billion for infrastructure projects and an additional $25 billion over 10 years for a new program designed by Ivanka Trump that would create six weeks of parental leave benefits.

RIYADH, Saudi Arabia — As President Donald Trump opened his keynote address in Saudi Arabia, he lavished praise on the “magnificent” kingdom and “the grandeur of this remarkable place.”

Then he made clear there would be no public lecture from America on Saudi Arabia’s abysmal human rights record.

“We are not here to tell other people how to live, what to do, who to be, or how to worship,” Trump declared Sunday.

Trump’s willingness to set aside human rights as a principal foreign policy has been one constant in his chaotic administration. Yet the absence of any public reference to the kingdom’s treatment of women and political opponents during his two-day visit was still jarring, particularly when contrasted with his affectionate embrace of the royal family.

The closest Trump came to acknowledging the human rights situation was a call for the region’s leaders to stand together against “the oppression of women.” A White House official later said the president did raise women’s rights in his private meetings with Saudi officials, and noted that administration officials broached the topic in their talks in the lead-up to the trip. The official insisted on anonymity in order to discuss the private meetings.

To be sure, Trump’s predecessors have also forged close ties with Saudi Arabia, an important U.S. partner in the Middle East, and other nations with questionable human rights records. But in their own ways, former Presidents Barack Obama and George W. Bush each vouched for American values in their dealings with those nations, including the kingdom.

During a 2014 trip to Riyadh, Obama met with a Saudi woman who spread awareness of domestic violence in her country and presented her with the State Department’s International Women of Courage award. His opening address to the Muslim world in 2009 also made numerous references to democracy and human rights.

Human rights were a regular part of the dialogue with the Saudis under the Bush administration. In 2004, the State Department listed the kingdom as “a country of particular concern” in its annual report on International Religious Freedom.

Saudi Arabia adheres to an ultraconservative interpretation of Islamic Shariah law where unrelated men and women are segregated in most public places. Women are banned from driving, although rights advocates have campaigned to lift that ban. Guardianship laws also require a male relative’s consent before a woman can obtain a passport, travel or marry. Often that relative is a father or husband, but in the absence of both can be the woman’s own son.

Saudi Arabia also routinely carries out executions by beheading, including some in public.

Ivanka Trump, the president’s daughter and senior adviser, was more direct during an entrepreneurship roundtable with Saudi women Sunday morning, telling the participants that in every country, “women and girls continue to face unique systematic, institutional, cultural barriers, which hinder us from fully engaging in and achieving true parody of opportunity within our communities.”

“Each of you know this to be true,” she said.

Kristine Beckerle, a Saudi Arabia researcher for Human Rights Watch, said the first daughter was missing the bigger picture.

“It’s not that entrepreneurship isn’t important, but you need serious political changes so that that the laws that restrict women from functioning in the work place are reversed,” Beckerle said. “Without that, any amount of money or investment won’t go very far.”

Some lawmakers in both parties raised concerns with Trump’s reluctance to publicly vouch for U.S. values in places where people are persecuted.

“I think that would be a terrible abdication of our global leadership when it comes to advocating for people who are the subject of persecution, or imprisoned, or journalists that are thrown in jail, or people not allowed to practice their faith,” Rep. Adam Schiff, D-Calif., said on CNN. “I think it would be a historic mistake for us to walk away from that.”

Florida Sen. Marco Rubio, who challenged Trump for the Republican presidential nomination last year, said he wouldn’t have promised to avoid the topic of human rights with the Saudis.

“That would not have been a part of a speech that I would have delivered,” Rubio said in his own appearance on CNN. “I think it’s in our national security interest to advocate for democracy and freedom and human rights, now, with a recognition that you may not get it overnight.”

Human rights didn’t go completely unnoticed on Trump’s trip. During a press briefing Saturday, Secretary of State Rex Tillerson hammered Iran’s newly re-elected president for his government’s oppressive policies.

However, when reporters shouted out questions regarding Saudi Arabia’s human rights record — namely, one question about when the kingdom intends to allow women to drive — Tillerson ignored it.

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Salama reported from Washington.

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Follow Julie Pace at http://twitter.com/jpaceDC and Vivian Salama at http://twitter.com/vmsalama

Copyright 2017 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

President Trump delivers the commencement address at the commencement ceremony at the U.S. Coast Guard Academy on Wednesday in New London, Conn. (Drew Angerer/Getty Images)

An already tumultuous week of news for the White House was capped off by a New York Times report on Friday that said President Trump discussed his abrupt firing of James B. Comey as FBI director during an Oval Office meeting with Russian officials the day after the termination.

“I just fired the head of the FBI. He was crazy, a real nut job,” Trump said, according to an account reported by the Times that was not disputed by the White House. “I faced great pressure because of Russia. That’s taken off.”

The new report ignited afresh the possibility that Trump had committed obstruction of justice.

But it was also the reappearance of one of Trump’s preferred ways of insulting people: by suggesting that he is calling into question their mental stability. It’s unclear if Trump does this intentionally — is this an instance where we’re supposed to take him seriously, but not literally? — or if he uses such put-downs without giving a second thought to their association with mental health.

Nevertheless, Trump’s reported verbal attack on Comey sparked an immediate spike in lookups Friday for “nutjob” (defined as “a mentally unbalanced person; a crazy person), according to Merriam Webster.

In the world of Trumpian taunts, it’s safe to say “nut job” falls somewhere on the second tier. A search of his Twitter account reveals the president lobs it with far less frequency than, say, “loser” (which has appeared 72 times in his tweets), “crazy” (65 times) or “dumb” (95 times).

In fact, Trump has only once called someone a “nut job” on Twitter: Glenn Beck.

Wacky @glennbeck who always seems to be crying (worse than Boehner) speaks badly of me only because I refuse to do his show–a real nut job!

— Donald J. Trump (@realDonaldTrump) October 8, 2015

(Beck refused to engage. “It is beneath me to respond to this,” he told The Blaze.)

In person, Trump has labeled someone a “nut job” more often, from conservatives to liberals to dictators.

Last February, Trump called Sen. Lindsey O. Graham (R-S.C.) the “dumbest human being” at an event in the senator’s home state after the one-time Republican nomination rival had described Trump as « crazy » and « unfit for office. »

“He went crazy,” Trump declared, according to ABC News. “The guy is a nut job.”

Graham returned the insults about a week later, going on “a seven-minute diatribe in the Capitol basement” before stating that he was “literally running out of adjectives” with which to blast Trump, The Washington Post’s Paul Kane reported.

“I think he’s going to lose, and he’s going to lose badly,” Graham said of Trump. “So don’t look at me to be the guy who stops him from being president of the United States. You can’t have it both ways. You can’t nominate a nut job and lose, and expect it doesn’t have consequences.”

A few months later, in June, Trump turned his ire on Bernie Sanders, whom he deemed “crazy Bernie” and “a total nut job.”

Trump on “crazy Bernie” tonight: “He is nuts. He’s a total nut job.“

— John Aravosis (@aravosis) June 3, 2016

At the time, the Democratic presidential hopeful opted for the « I know you are but what am I » defense, laughing the insult off and telling a television reporter that Trump ought to look in the mirror.

Compared with his definitive assessments of Graham, Beck and Sanders, Trump was slightly more reserved when calling into question the mental state of North Korean leader Kim Jong Un last January.

“I think it’s a serious problem because he is probably on the wacky side,” Trump said of Kim on Fox News then. “I mean, you’ve got this mad man playing around with the nukes and it has got to end. He’s certainly — he could be a total nut job, frankly.”

Kim has not yet responded to Trump’s comments, though North Korea has “demonstrated” recently that it has nuclear missiles that would be capable of reaching U.S. territory.

[Trump’s oddly empathetic comments about Kim Jong Un]

On Friday, Merriam-Webster reported that look-ups for “nutjob” spiked 173,750 percent after the New York Times report published Trump’s alleged remarks about Comey. By Saturday, “nutjob” was the top trending word on the dictionary’s website.

« ‘Nutjob’ is derived from the word ‘nut’ (“a crazy person”) combined with the word ‘job,’  » Merriam-Webster stated in a blog post. “Yes, that’s really it.”

Though relatively rare, the insult emerges frequently enough from Trump that the quirk made its way to an SNL cold open last April, in which a Trump surrogate — played by Cecily Strong — refers to herself as a “nut job.”

It’s no secret that Trump loves to demean his critics with an array of put-downs. (In 2015 The Post found that Trump had publicly insulted at least 68 people or groups that year.)

But Trump seems to have a proclivity for insults that cast others as mentally unstable or mentally ill. In a few cases, he has said it outright.

Sorry, @Rosie is a mentally sick woman, a bully, a dummy and, above all, a loser. Other than that she is just wonderful!

— Donald J. Trump (@realDonaldTrump) December 9, 2014

I knew Chris Matthews when he was sane and, quite honestly, wonderful. Now he’s gone off the deep end as an Obama surrogate. @hardball_chris

— Donald J. Trump (@realDonaldTrump) August 27, 2012

But usually, Trump uses other words that are connected with mental health but have a negative connotation. He’s called people “wacko” (sometimes spelling it “whacko,” especially when referring to disgraced former New York congressman Anthony Weiner).

Wow, Lyin’ Ted Cruz really went wacko today. Made all sorts of crazy charges. Can’t function under pressure – not very presidential. Sad!

— Donald J. Trump (@realDonaldTrump) May 3, 2016

A woman who got fired after two days of working with Scott Walker – a wacko – now trying to raise funds to fight me.

— Donald J. Trump (@realDonaldTrump) November 21, 2015

In a handful of instances, Trump has deemed someone — or something — to be a “basket case.” Then-Republican presidential candidate Jeb Bush? “A basket case!” Former “Art of the Deal” ghostwriter Tony Schwartz?  » … now a hostile basket case who feels jilted!” The United States of America? An “economic basket case.”

As The Post’s Colby Itkowitz reported last February, Trump’s flippant usage of such insults reflected a broader, often dismissive attitude about mental health in society. People are so inured to such disparaging remarks insults that they often don’t immediately associate them with mental health at all — and even if they do, they don’t think twice about it.

Trump’s words only add to the “shame” and negative stigma surrounding people who are suffering from mental illness, experts told Itkowitz.

“Stigmatizing words, stereotypes and portrayals end up helping to shape society’s attitudes,” Bob Carolla, spokesman for the National Alliance on Mental Illness, said then. “You can’t say it’s harmless, because it isn’t.”

Trump has also been on the receiving end of these types of insults — most recently when Comey’s father, 86-year-old J. Brien Comey, came to his son’s defense.

“I never was crazy about Trump,” J. Brien Comey told the Bergen County Record. “I’m convinced that he’s nuts. I thought he belonged in an institution. He was crazy before he became president. Now he’s really crazy.”

Read more:

President Trump’s favorite so-called insult

James Comey: Out of a job, but still in the public eye

Recapping a stunningly bad two weeks for the Trump White House

RIYADH, Saudi Arabia — The Latest on President Donald Trump’s first trip abroad (all times local):

10:20 a.m.

President Donald Trump is making plans for another foreign trip as he eases into his first.

Trump said Sunday he would accept an invitation made by Egyptian President Abdel Fattah el-Sissi to visit Egypt. Trump said the visit would happen before long.

Trump is also calling el-Sissi his “friend” and praising him for the release of U.S. aid worker Aya Hijazi, who had been held captive for three years.

Through a translator, el-Sissi said Trump “had a unique personality” that allowed him “to do the impossible.”

Trump smiled and said “I agree.”

Trump was also overheard complimenting el-Sissi’s shoes.

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9:58 a.m.

President Donald Trump says that he and the Emir of Qatar will discuss the purchase of “lots of beautiful military equipment.”

Trump and Sheikh Tamim bin Hamad Al Thani met Sunday morning in Riyadh in a bilateral meeting.

The president said the two nations had been “friends for a long time.” He added that “no one makes” military equipment like the United States and said a deal would create jobs for the U.S. and security for Qatar.

The potion of the meeting open to reporters did not include any discussion of human rights in Qatar. The nation has come under scrutiny for the harsh conditions faced by workers building the venues for the 2022 World Cup.

____

9:23 a.m.

President Donald Trump is beginning his day of meetings with Arab leaders with the King of Bahrain.

Trump says the two countries “have a wonderful relationship” but “there has been a little strain.”

He vowed Sunday to improve things further. Trump did not specify what tension he needed to resolve. The two countries have had a long-term military alliance though the U.S. Was critical of Bahrain’s response to uprisings during the Arab Spring.

The King of Bahrain also praised the two nations’ long-term alliance.

Trump is set to have a day of meetings before delivering a major speech to the Muslim world urging unity in the fight against terror.

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9:05 a.m.

President Donald Trump is kicking off the second day of his first foreign trip abroad with a series of bilateral and group meetings with foreign leaders.

Trump will meet with leaders from Bahrain, Qatar, Egypt, Kuwait, and other countries before delivering a speech on fighting extremism.

The president will urge leaders in the region to “drive out the terrorists from your places of worship.” That’s according to a draft of the speech obtained by The Associated Press.

He’ll also attend the opening of the new Global Center for Combating Extremist Ideology.

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7:20 A.M.

President Donald Trump is using the nation that is home to Islam’s holiest site as a backdrop to call for unity across the Muslim world in the fight against terrorism.

In Trump’s Sunday speech, which is the centerpiece of his two-day visit to Saudi Arabia, he will address 50 Muslim and Arab leaders and urge them to “drive out the terrorists from your places of worship.” That’s according to a draft of the speech obtained by The Associated Press.

Trump’s presidential campaign was frequently punctuated by bouts of anti-Islamic rhetoric. He is now poised to soften some of his language about the Muslim faith.

Though during the campaign Trump repeatedly stressed the need to say the words “radical Islamic terrorism,” that phrase is not included in the draft.

Copyright 2017 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.