As President Trump travels to Pennsylvania on Thursday for a Fox News town hall, the Supreme Court has signaled it will hear the case for a Trump-backed lawsuit that could potentially strip millions from their health care coverage under the Affordable Care Act, including over 850,000 Pennsylvanians.

On Monday, the Supreme Court announced it would take up the joint cases California v. Texas and United States vs. House of Representatives – two Republican-led lawsuits backed by the Trump Administration – that are seeking to dismantle the Affordable Care Act in its entirety.

Nationally, this would mean catastrophic consequences for the millions of Americans who rely on the Affordable Care Act for their health insurance.

And if the lawsuit were successful, in Pennsylvania alone, more than 850,000 residents are estimated to be stripped of their current health coverage. In addition, more than 5.3 million Pennsylvanians with preexisting conditions would see a spike in their premium costs.

The Supreme Court’s announcement comes just weeks after the president declared he will seek giant cuts to Medicare and Social Security if reelected to a second term.

When asked in an interview with CNBC on Jan 22, 2020, if he would consider budget cuts to programs like Medicare, President Trump sharply answered affirmatively. “At some point they will be,” Trump said. “At the right time, we will take a look at that.”

The declaration coincided with the release of the White House’s budget blueprint for 2020 that also outlined cuts to the two programs. Over 10 years, Trump’s proposal would cut Medicare spending by $845 billion, including cuts to prescription drug coverage, hospital reimbursements, and by reclassifying spending away from Medicare. President Trump also placed a bullseye on Medicaid: his proposed budget would cut the program by $1.5 trillion over 10 years, and allocate $1.2 trillion into a new state block grant program, which could significantly decrease the amount of coverage received by those currently enrolled in Medicaid.

In 2018, over 2.8 million Pennsylvania residents drew Social Security benefits, and in 2019 over 2.7 million were enrolled in Medicare. In addition, more than 2.9 million were enrolled in Medicaid.