Overview

• On June 29, Hawley’s decisive vote alongside Vice President Vance’s tie-breaking action secured Senate passage of the tax-and-spending reconciliation bill.
• In interviews July 9–10, he highlighted negotiated additions including targeted funding for rural hospitals and reauthorization of the Radiation Exposure Compensation Act.
• Hawley asserts that Medicaid provider tax changes in the law will not take effect until 2030 and vows to introduce legislation aimed at blocking them.
• MSNBC hosts and former Sen. Claire McCaskill publicly denounced his reversal, calling his post-vote critique of cuts an “audacious spin.”
• Nonpartisan analyses estimate the bill’s nearly $1 trillion in Medicaid cuts could strip millions of coverage and threaten rural health infrastructure.