Overview

• The Senate plan caps Medicaid provider taxes at 3.5 percent by 2031 and tightens eligibility, prompting concerns about cuts to rural hospitals and low-income coverage.
• Moderate Republicans from high-tax states warn the Senate’s $10,000 SALT deduction cap is unacceptable after the House negotiated $40,000 and could collapse the bill if not raised.
• The upper chamber’s version eases deadlines for clean energy tax credits by extending project start dates to year-end, drawing fire for watering down IRA rollbacks.
• Senate Majority Leader John Thune defended the revisions as a necessary program rebalance and backed permanent business incentives like full expensing and R&D deductions.
• House conservatives led by Chip Roy and swing Republicans such as Jeff Van Drew have declared the Senate text “dead on arrival” and “political suicide,” threatening to block it before July 4.