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House Committees Advance Tax Cuts and Medicaid Reforms in 'Big, Beautiful Bill'

Republicans push forward sweeping legislation extending 2017 tax cuts while cutting Medicaid and clean energy funding, setting up a contentious Senate review.

Youth volunteers package and organize food at the San Antonio Food Bank on March 27, 2025, in San Antonio, Texas.
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Overview

  • The House Ways and Means Committee approved a tax package, including permanent extensions of 2017 tax cuts, in a 26-19 party-line vote after an overnight session.
  • The Energy and Commerce Committee advanced Medicaid reforms projected to save $715 billion but potentially leave 7.7 million uninsured, according to the CBO.
  • Proposed cuts include $880 billion from Medicaid and $6.5 billion from clean energy programs, alongside expedited permitting for fossil fuel projects.
  • Senate Republicans signal significant revisions to protect rural hospitals, address Medicaid work requirements, and adjust clean energy tax credit phase-outs.
  • The bill, which includes $4 trillion in additional borrowing, aims to pass through budget reconciliation and avoid a mid-July debt ceiling crisis.