House Budget Chairman Paul Ryan, R-Wis., on Tuesday offered a vision for how he would balance the budget over the next decade and make broader reforms to entitlement programs to put the nation on a sustainable fiscal path over time.

The new Ryan budget has many of the same features of the proposals he’s offered in his previous two years as chair of the budget committee. As with his past budgets, Ryan would save money by block-granting Medicaid to the states and providing governors with more flexibility over how to implement the program. He would also repeal President Obama’s health care law and cap the growth of discretionary spending.