FREDERICKSBURG, Va. (DC News Now) -- For Fredericksburg native and single mother, Tysha Newton, Medicaid coverage is a lifeline. Her son Junior had a metabolic stroke as a 9-month-old, regressing developmentally to the equivalent of a newborn baby. Newton fought for Medicaid coverage, gaining access to a battery of therapies and resources and she was able to secure medically skilled respite care for Junior, so she could go to work. Fairfax County families get a shot at rent assistance as waitlist opens up Now, as a 7-year-old, Junior is able to use a walker and a speech device, even joining peers in general education classrooms. Newton then built a career coordinating behavioral healthcare, many of the programs relying on Medicaid. "If they don't have Medicaid, we have to turn them away. And that's unfortunate," Newton said. In Virginia, Medicaid coverage is available to children under 19 years old in families with an income limit of 139% of the federal poverty level. People with disabilities who don't meet the income requirements are able to access Medicaid through a variety of avenues, such as through Supplemental Security Income and state waiver programs. Newton is preparing to open her own center in Fredericksburg, called Especially You Children's Developmental Center, to teach social and life skills to children with behavioral and developmental differences, accepting patients with Medicaid. As President-elect Donald Trump prepares to return to the White House for a second term, parents like Newton are left wondering what the future will look like for children like hers. During his first term, Trump approved work requirements for some Medicaid subscribers. Trump's campaign hasn't specified how Medicaid funding might be impacted this time around, but Republicans will need to find areas to trim back federal spending to extend expiring corporate tax cuts. The complexion of the GOP's control of the U.S. House of Representatives is still taking shape. In 2017, the GOP-controlled House approved a bill that would have slashed 25% of federal Medicaid funding. Program gives Fairfax County small businesses thousands in free support According to the Virginia Senate Finance Committee, Medicaid contributions are the state's largest source of income from the federal government. Federal funds comprise more than half of Virginia's Medicaid money. In 2022, federal funds constituted nearly 67% of Virginia's $1.8B in Medicaid spending across its 1.9 million participants. Parents like Newton brace for uncertainty, and possible changes. "Parents are definitely scared with any new changes with Medicaid. Like the impact, or what it could affect later," Newton said. "It's like 'what would the world look like?'"