and loathing here. >> there's a lot riding on this. >> reporter: for jeff britain, which operates this and three other non-profit family health centers, higher premiums and deductibles and medicaid roll back are the stuff of worries. >> when medicaid expansion dollars went into existence, we were able to expand services and provide additional services to our patients and expand the number of patients we could serve. so rolling back those dollars is going to significantly roll back our services. >> page holland works full-time at mcdojd's while holding down a second job and medicaid expansion covers her health needs. >> i've been having a lot of appointments and take more medications than i like lately it's really been helping me out with being able to pay for them and i know if it does go away, it's going to hurt me a lot. >> reporter: with monday's congress budget office report predicting 22 million covered won't be if the bill becomes law, their frustrations are