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Senate Republicans Face Legislative Clash Over Medicaid Cuts and Tax Bill Amid House Approval of New Act

Senate Republicans propose Medicaid cuts and tax reforms, while the House advances the One Big Beautiful Bill Act, complicating negotiations and budget impacts.

Overview

A summary of the key points of this story verified across multiple sources.

  • Senate Republicans propose deeper Medicaid cuts and new work requirements for parents, aiming to save $625 billion over the next decade.
  • The Senate tax bill includes a permanent $10,000 cap on state and local tax deductions, differing from the House's proposed $40,000 cap.
  • Senator Ron Johnson raises concerns about the deficit impact of the tax bill, potentially delaying the vote amid internal GOP resistance.
  • The Senate Finance Committee's revisions to the tax bill may lead to millions losing health insurance, as the CBO estimates significant budget deficits.
  • The House advanced and approved the One Big Beautiful Bill Act in May, complicating negotiations with the Senate's conflicting tax and health care proposals.

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Analysis

Compare how each side frames the story — including which facts they emphasize or leave out.

Center-leaning sources frame the legislative process as a significant yet contentious development, highlighting the challenges posed by proposed changes. The authors exhibit a critical perspective, emphasizing potential difficulties for individuals affected by the bill, suggesting a bias towards advocating for more equitable solutions in student loan policies.

Articles (47)

Compare how different news outlets are covering this story.

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"…It’s possible Republicans could still screw this up, but there’s really less than meets the eye in all the smoke being blown in GOP circles over the state of play on this bill."

Trump Has the Only Vote That Matters on the Big Beautiful Bill
New York MagazineNew York Magazine·7d·
Leans Left
This outlet slightly leans left.

"…Republicans are determined to pass a version of the bill, but increasingly my sources are saying the question is “not if, but when.”"

What's in the Senate's version of Trump's 'big bill'?
PBS NewsHourPBS NewsHour·6d·
Leans Left
This outlet slightly leans left.

"…It’s crunch time in Congress as Republican Senate leaders try to shape the president’s so-called “big beautiful bill” into a compromise that can pass."

Can Trump’s ‘big, beautiful bill’ make it through the Senate?
PBS NewsHourPBS NewsHour·7d·
Leans Left
This outlet slightly leans left.

"…The Senate draft also enhances Trump’s proposed new tax break for seniors, with a bigger $6,000 deduction for low- to moderate-income senior households earning no more than $75,000 a year for singles, $150,000 for couples."

Senate Republicans seek tougher Medicaid cuts and lower SALT deduction in Trump's 'big, beautiful bill'
PBS NewsHourPBS NewsHour·7d·
Leans Left
This outlet slightly leans left.

"…Senate committees are racing to release their versions of the “Big, Beautiful Bill” in hopes of passing their package next week so the two chambers can work out a final deal and send it to Trump by July 4."

Senate Republicans unveil plan for cuts to Medicaid and taxes in Trump agenda bill | Politics
CNNCNN·8d·
Leans Left
This outlet slightly leans left.

"…The Senate bill goes further, limiting the provider taxes that many states already have in place, but only in states that have expanded Medicaid under the ACA."

Senate Republicans release Trump agenda bill text on Medicaid, Medicare and SALT
NBC NewsNBC News·8d·
Center
This outlet is balanced or reflects centrist views.

"…The proposed Medicaid cuts in the House Republicans’ sprawling domestic policy bill could cause an estimated 7.6 million Americans to lose health insurance, leading to thousands of preventable deaths, according to an analysis published Monday in the Annals of Internal Medicine."

Proposed Medicaid cuts could lead to thousands of deaths, study finds
NBC NewsNBC News·8d·
Center
This outlet is balanced or reflects centrist views.

"…Senate Republicans have unveiled their version of President Donald Trump's big tax bill, but passing it will be easier said than done due to deepening fractures within the party."

Senate tax bill stumbling blocks: Medicaid cuts, SALT and deficit explosion
USA TODAYUSA TODAY·7d·
Center
This outlet is balanced or reflects centrist views.

"…The Senate's proposal would create a new tax deduction on overtime of up to $12,500 for an individual who makes $150,000 or less in a year."

Deeper Medicaid cuts, limited tax breaks for tips: What's in the Senate tax bill
USA TODAYUSA TODAY·8d·
Center
This outlet is balanced or reflects centrist views.

"…If the prices spike in the way analysts expect, the buyers are going to be angry and looking for somebody to blame."

Do Republicans Realize Whose Health Care They’re Cutting?
The BulwarkThe Bulwark·7d·
Center
This outlet is balanced or reflects centrist views.

"…Though the majority of Senate Republicans left a closed-door briefing on newly released provisions in the Senate Finance Committee's portion of President Donald Trump's megabill to fund his second-term agenda, enough are raising major concerns that might mean a tricky path forward for the legislation."

Senate Finance Committee's version of the 'big, beautiful bill' sets up a potential clash with the House
ABC NewsABC News·8d·
Center
This outlet is balanced or reflects centrist views.

"…Senate Republicans are aiming to make key progress this week in their effort to approve the legislation, but some of the key sticking points still appear unresolved, making it less certain they'll get the bill to Mr. Trump's desk by their self-imposed deadline of July 4."

Senate Republicans unveil long-awaited details on Trump tax bill
CBS NewsCBS News·8d·
Center
This outlet is balanced or reflects centrist views.

"…The Senate draft also enhances Trump’s proposed new tax break for seniors, with a bigger $6,000 deduction for low- to moderate-income senior households earning no more than $75,000 a year for singles, $150,000 for couples."

Senate Republicans seek tougher Medicaid cuts and lower SALT deduction in Trump's big bill
Associated PressAssociated Press·8d·
Center
This outlet is balanced or reflects centrist views.

"…The new CBO analysis is in line with projections from the Penn Wharton Budget Model and the Yale Budget Lab, both of which found that the bill would add more to the deficit once the economic effects are included."

The 'big beautiful bill' will require even more borrowing than previously thought
ReasonReason·6d·
Center
This outlet is balanced or reflects centrist views.

"…Some of the changes are expected to diminish the bill’s chances of passage when it's sent back to the House with the revisions."

Senate Finance Committee unveils budget bill changes
World News GroupWorld News Group·7d·
Leans Right
This outlet slightly leans right.

"…The GOP tax package would create a new deduction of up to $25,000 for qualified tips received by an individual who works in a role that customarily and."

Senate Republicans unveil bill to make Trump tax cuts permanent: Here's what to know
Fox BusinessFox Business·7d·
Leans Right
This outlet slightly leans right.

"…The Senate draft also enhances Trump’s proposed new tax break for seniors, with a bigger $6,000 deduction for low- to moderate-income senior households earning no more than $75,000 a year for singles, $150,000 for couples."

Senate Republicans seek tougher Medicaid cuts and lower SALT deduction in Trump’s big bill
Boston HeraldBoston Herald·7d·
Leans Right
This outlet slightly leans right.

"…Hawley, R-Mo, is among that cohort and has long been outspoken in his position that if Senate Republicans produce a version of the president’s "big, beautiful bill" that strips benefits from his constituents, he won’t support the package."

'It's wrong': Hawley warns Senate GOP not to boot Americans from Medicaid in Trump megabill
FOX NewsFOX News·8d·
Leans Right
This outlet slightly leans right.

"…Johnson’s report is an implicit rebuke of GOP leadership as Senate Majority Leader John Thune (R-SD) insists the Congressional Budget Office is wrong for projecting an additional $2.8 trillion in deficits due to the megabill."

Ron Johnson ramps up Trump tax bill opposition with deficit report
Washington ExaminerWashington Examiner·6d·
Leans Right
This outlet slightly leans right.

"…The Senate Finance Committee essentially punted on SALT for the time being."

How the Senate GOP tax plan differs from the House bill
Washington ExaminerWashington Examiner·8d·
Leans Right
This outlet slightly leans right.

"…The inclusion of the anti-abortion language in the One Big Beautiful Bill Act is being lauded as a massive victory by the anti-abortion lobby."

Senate GOP megabill would defund Planned Parenthood
Washington ExaminerWashington Examiner·8d·
Leans Right
This outlet slightly leans right.

"…The expansion of the child tax credit in the House and Senate versions of the bill is less than many pro-family conservatives would have liked."

Senate GOP releases tax plan with smaller child tax credit boost
Washington ExaminerWashington Examiner·8d·
Leans Right
This outlet slightly leans right.

"…The Senate version of the bill is expected to tighten state-directed payments even more than the House version of the legislation."

Senate GOP to impose tougher curbs on states inflating Medicaid payments
Washington ExaminerWashington Examiner·8d·
Leans Right
This outlet slightly leans right.

"…Vance said he was "gratified and optimistic" by what he heard from GOP senators who are racing to resolve major policy disputes over Medicaid and tax incentives after the Senate Finance Committee released proposed changes Monday night."

VP Vance: 'We're in a Good Place' With Megabill
NewsmaxNewsmax·7d·
Right
This outlet favors right-wing views.

"…Senate Republicans remain divided on three key issues: Medicaid, the state-and-local-tax deduction (SALT) cap, and green credits."

Medicaid, SALT, Energy Remain Megabill Issues to Resolve
NewsmaxNewsmax·8d·
Right
This outlet favors right-wing views.

"…Sen. Ron Johnson, R-Wis., is back to being a hard "no" on the Senate's version of the legislation to fund the president's domestic policy agenda."

Sen. Ron Johnson: 'No' on Senate Version of Big, Beautiful Bill
NewsmaxNewsmax·8d·
Right
This outlet favors right-wing views.

"…Johnson has repeatedly qualified his opposition to Trump’s landmark bill by stating that he wants the president to succeed and is supportive of many of the budget package’s provisions, but the Wisconsin Republican says he cannot stomach a multi-trillion increase to the national debt."

Ron Johnson Seeks To Delay Vote On Trump’s Megabill With Release Of Blockbuster Report
Daily CallerDaily Caller·6d·
Right
This outlet favors right-wing views.

"…Roy said he and his House Freedom Caucus (HFC) colleagues have been engaged in frequent conversations with the Senate about the upper chamber’s proposed changes and argued the Senate’s draft bill will not pass muster in the House."

‘Not Getting The Job Done’: Chip Roy Says Senate Changes To Trump’s Megabill Is Dead On Arrival In House
Daily CallerDaily Caller·7d·
Right
This outlet favors right-wing views.

"…The Senate Finance Committee released portions of a revised version of the One Big Beautiful Bill Act, reigniting the debate over changes to the Medicaid program and the State and Local Tax Deduction."

Senate GOP Unveils Medicaid, Tax Portions of Trump Agenda Bill
Epoch TimesEpoch Times·8d·
Right
This outlet favors right-wing views.

"…Johnson’s counterproposal to the big, beautiful bill is rather simple—reduce spending."

Sen. Ron Johnson Proposes Alternative to 'Big, Beautiful Bill'
Daily SignalDaily Signal·6d·
Right
This outlet favors right-wing views.

"…The coming days will be a great test of both Senate Majority Leader John Thune, R-S.D., and Speaker of the House Mike Johnson, R-La., as they attempt to wrangle their tight majorities in both chambers."

Senate 'Big, Beautiful Bill' Overhaul Rattles GOP
Daily SignalDaily Signal·7d·
Right
This outlet favors right-wing views.

FAQ

Dig deeper on this story with frequently asked questions.

The Senate bill proposes a reduction in provider taxes from 6% to 3.5%, which affects how states fund Medicaid. This is a more significant change than the House bill. Additionally, the Senate version includes stricter work requirements and removes coverage for many legal immigrants.

The proposed cuts would reduce federal Medicaid spending by approximately $793 billion over ten years, according to the Congressional Budget Office.

The proposed cuts could lead to financial strain on local hospitals, which have historically relied on Medicaid funding. This could result in reduced services or even hospital closures.

History

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