President Donald Trump’s decision not to visit Israel on his first Middle East — and first international — trip of this presidency has raised questions about whether the two countries are in lockstep with each other on issues in the region, The Wall Street Journal reported Tuesday.

Trump opened his four-day trip to the Mideast with a visit to Saudi Arabia on Tuesday. He is also making stops in Doha, Qatar, and Abu Dhabi, United Arab Emirates, but notably passing over Israel.

It is the latest in a string of decisions and actions by the White House that has stoked speculation about whether Trump’s America First agenda is leaving Israel on the sidelines, the Journal reported.

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