US Senate majority leader John Tune (Rs.D.) to the left, R-Idaho Sen. Mike Krapo will speak to a reporter outside the West Wing of the White House in Washington, D.C. after a meeting with President Donald Trump on June 4, 2025. (Photo: Anna Money Maker/Getty Images)
WASHINGTON — U.S. Senate Republicans suffered a serious setback Thursday in not following the complicated rules for moving settlement packages with the “big beautiful bill” when Congress ruled several changes to Medicaid.
Mike Krapo, chairman of the Finance Committee. R-Idaho will need to rework or completely eliminate nine changes proposed by the committee to its health care programme, but many of the panel’s proposals are still under review.
Republicans cannot reduce the amount of federal matching funds for state governments that use their taxes to provide Medicaid compensation to immigrants within the country without proper documentation.
The GOP bill cannot prohibit gender-affirming care for Medicaid patients.
And Republicans need to change or scrap proposals to reduce tax credits for state Medicaid providers. This is a relatively relatively problematic issue with the weeds of healthcare policy, but it has pivoted the GOP and elicited fierce opposition from the state.
Changes or exclusions could have a significant impact on the savings that the GOP tax and spending reduction bill will occur over the next decade, making the overall package deficit more impact than before. The law aims to extend tax cuts in 2017 and reduce spending.
The ruling may make it even more difficult for President Donald Trump and Congressional GOP leaders to get the votes they need to pass the bill at all before the voluntary head of the July 4th timeline. The Senate GOP leader said he wanted to start the proceedings vote on Friday.
major I was already stuck on Wednesday It’s even more amid the rise in conflict over how Medicaid changes will affect rural hospitals and more.
Democrats respond
Senate Budget Committee ranking member Jeff Markley, d-ore released Congressional rulingwrote that Democrats will continue to advocate for removing numerous proposals from bills they believe they do not meet. Adjustment rules.
“Republicans are rewriting parts of this bill and keeping their family losing, rushing for billionaires to win the agenda, while Democrats are ready to scrutinise the changes and ensure that the bird rules are in effect,” writes Merkley.
Staff who was given anonymity to discuss the chairman’s plan said the Finance Committee “will address the bird guidance and rework certain provisions to comply with the settlement.”
Named after former West Virginia Sen. Robert Byrd, the Bird Rule includes several guardrails for the settlement bill.
D-ore is a ranking member of the Finance Committee. wrote in a statement that the Congressional ruling would “continue to more than $250 billion in healthcare cuts removed from the big, bad Republican bill.
“Democrats fight, win, surprise the cuts in health care from this bill, hurting Americans walking the economic tightrope. This bill is rotten to the heart. We will continue to fight against the cuts in this morally bankrupt bill until the very end.”
Congress is determining whether several health clauses meet the settlement rules, including languages that block all Medicaid funds from going to planned parent-child relationships.
Federal law already prohibits funding for abortion, with the exception of rape, incest or the lives of pregnant patients.
Congress will also decide later whether the Republican bill can stop the Department of Health and Human Services from implementing Biden-era rules that require nurses to work 24 hours a day, seven days a week.
Higher ED regulations have been x
Congress has also struck out several attempts from Republicans in Congress to overhaul the higher education system.
GOP lawmakers cannot streamline student loan repayment options to standard or income-driven repayment plans only. This is a major education-related provision.
Republicans need to resolve proposals that have opened up Pell Grant, a government grant that helps low-income students pay colleges to those registered with non-certified institutions.
Congress has repealed a proposal that would have banned registered payments from students enrolled in a medical or dental internship or residency programmes from registering for public service loan allowances.
Federal Programs Eliminate remaining debt For borrowers who meet certain requirements, such as working for qualified employers within the government or non-profit sector.
Congress rejected GOP lawmakers’ proposal to end the eligibility of federal student aid for certain immigrants who are not US citizens.
“Too many Medicaid cuts”
Missouri Republican Sen. Josh Hawley said the lawmaker’s ruling on Medicaid provider tax rates “gives an opportunity to make it right.”
“This is an opportunity to solve the issues the Senate created without reimbursing rural hospitals,” Holy added that he would support house languages that freeze rates at 6%, rather than reducing it to 3.5% over the next few years.
Holy hopes Trump will be more involved in the negotiations as he is back from the NATO meeting in Europe, and said he is in a “great mood” during his recent call.
“I think he wants this, but he wants it to work, and he doesn’t want this to be a Medicaid reduction bill,” Holy said. “He made it very clear to me. He said this is a tax cut bill, it’s not a Medicaid reduction bill. I think he’s tired of hearing about all these Medicaid cuts.
White House spokesman Karoline Leavitt said in a briefing that Trump was the “adamant” Congress next week despite the latest ruling.
“I hope that by July 4th, Bill will be at the president’s desk to sign. I know there was a senator’s ruling this morning,” Leavitt said. “Look, this is part of the process. It’s part of the internal mechanisms of the US Senate. But the president has asserted that he will see this bill at his desk in the White House by Independence Day.”
