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Republican Rift Stalls Trump’s Big Beautiful Bill in the Senate

Senate talks are focusing on Medicaid work mandates following the House’s single-vote approval.

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Photo: Tom Williams/CQ-Roll Call, Inc via Getty Images
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Overview

  • Senate Republicans remain divided on Medicaid provisions, with Sen. Susan Collins seeking relief for rural hospitals and Sen. Ron Johnson pressing for steeper cuts.
  • The Senate text lowers the dependent-children age threshold to 14, requiring parents of older children to complete 80 hours of work or community service monthly to keep benefits.
  • Provider tax caps are set to bar non-expansion states from levying facility fees and gradually limit them in expansion states to 3.5 percent by 2031, prompting warnings from hospital groups.
  • An Ipsos/The Washington Post poll found that 42 percent of Americans oppose the bill’s tax and health measures, compared with 23 percent in support and 34 percent undecided.
  • CBO estimates indicate that up to 16 million people could lose insurance under the House-passed bill, fueling debate over its impact on low-income and rural communities.