Overview

• Senate Parliamentarian Elizabeth MacDonough ruled that limits on Medicaid provider taxes and other savings measures violate reconciliation rules and must be removed from the legislation.
• Republican leaders say the decision wipes out more than $250 billion in proposed cuts, jeopardizing the president’s self-imposed July 4 enactment deadline.
• Senators including Josh Hawley and Susan Collins have voiced opposition over rural hospital funding and pressed for alternative offsets before voting.
• Democrats led by Chuck Schumer continue to denounce the bill for gutting healthcare, boosting tax breaks for the wealthy and adding roughly $3 trillion to the federal debt.
• GOP negotiators are drawing up contingency plans that include new spending cuts, tweaks to the SALT cap and rewrites of stripped provisions to revive the package.