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Republican Senators Face Challenges Over Medicaid Cuts Amid Internal Disagreements

Republican senators are pushing for Medicaid cuts, but internal disagreements and external pressures complicate the budget proposal's passage.

Overview

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

  • Republican senators are advocating for significant cuts to Medicaid in their budget proposal, impacting millions of low-income and disabled individuals.
  • Internal disagreements among Republicans on Medicaid and renewable energy complicate efforts to find a compromise between fiscal hawks and centrists.
  • The Senate Parliamentarian has ruled some provisions of the budget bill ineligible for reconciliation, adding to the challenges faced by the GOP.
  • The SALT Caucus has rejected a compromise regarding the state and local tax deduction, further complicating the budget discussions.
  • President Donald Trump is urging Republicans in both the Senate and House to swiftly pass the budget proposal before the upcoming recess.

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Articles (10)

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"…What these cuts are going to do is look at the most cost-efficient program and squeeze it further, and take us backwards, and put us back at a system where the people at the low end are literally dying to fund these tax cuts for rich people and businesses."

Republican senators’ proposed Medicaid cuts threaten to send red states ‘backwards’
The GuardianThe Guardian·2d·
Leans Left
This outlet slightly leans left.

"…MacDonough’s rulings came about after days of behind-the-scenes meetings between her office and Senate staff."

Senate’s Byrd Rule Upends Trump’s ‘Big Beautiful Bill’
TIME MagazineTIME Magazine·1d·
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This outlet slightly leans left.

"…Sen. Rand Paul signaled Tuesday that four Republican senators will be working to improve what he referred to as the current “weak” and “anemic” spending cuts to the Big, Beautiful Bill Act."

Rand Paul says four Republicans could ‘dramatically change’ Trump’s ‘big, beautiful bill’ - Washington Examiner
Washington ExaminerWashington Examiner·7h·
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This outlet slightly leans right.

"…Johnson downplayed the gulf between the House and Senate bills, denying Monday that the Senate’s legislation was a “vastly different product.”"

Mike Johnson eyes quick vote on ‘big, beautiful bill’
Washington ExaminerWashington Examiner·7h·
Leans Right
This outlet slightly leans right.

"…The ruling, delivered by the Senate parliamentarian on Sunday, was the latest blow to Republicans from the nonpartisan official tasked with refereeing what is and is not allowed under the filibuster-skirting process of budget reconciliation being used for the One Big Beautiful Bill Act."

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"…The fight also feeds into Democrats’ hoped-for battle, which ignores all the pesky details about illegal aliens, dead recipients, and able-bodied men and instead focuses on any threats to rural hospitals and the poor."

The tax trick pitting old-guard Republicans against the populist new right
The BlazeThe Blaze·1d·
Right
This outlet favors right-wing views.

"…Senate Majority Leader John Thune, R-S.D., remains focused on getting the "one, big, beautiful bill" to President Donald Trump's desk by July Fourth."

Thune Determined to Meet Trump's July 4 Megabill Deadline
NewsmaxNewsmax·13h·
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"…The parliamentarian’s rulings that GOP senators cannot move forward with certain provisions of the bill under a simple majority vote threshold is a setback for some of Senate Republican’s ambitious legislative goals within the budget package."

Unelected Official Throws Wet Blanket On Trump’s Bill — Sending GOP Sens Scrambling
Daily CallerDaily Caller·1d·
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FAQ

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Republican senators are advocating for significant cuts to Medicaid that would impact millions of low-income and disabled individuals, including reducing federal funding for Medicaid expansion in states under the Affordable Care Act, and potentially decreasing support for rural hospitals affected by these changes.

Internal disagreements stem from conflicts between fiscal hawks and centrists within the Republican senators, particularly over Medicaid cuts and renewable energy provisions, as well as disputes over the state and local tax (SALT) deduction compromise, which has been rejected by the SALT Caucus.

The Senate Parliamentarian has ruled certain provisions of the budget bill ineligible for reconciliation, which complicates the passage of the GOP budget proposal by limiting which parts can be included under the budget reconciliation process.

President Donald Trump is urging Republican senators and House members to swiftly pass the budget proposal before the upcoming congressional recess to avoid further delays and legislative complications.

The proposed Medicaid cuts could alarm hospitals and put additional strain on state budgets, especially in states that expanded Medicaid under the Affordable Care Act, by sharply reducing federal contributions and potentially jeopardizing funding for rural hospitals and other healthcare providers.

History

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  • 7h
    Washington Examiner logo
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    10 articles
  • 1d
    Washington Examiner logo
    TIME Magazine logo
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    3 articles
  • 1d
    The Blaze logo
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    4 articles