Overview

• Senate Republicans cleared a 51–49 procedural vote to launch debate on President Trump’s “big, beautiful bill.”
• The revised proposal pushes back Medicaid provider-rate cuts by one year and injects $25 billion into a rural hospital stabilization fund.
• President Trump said on Truth Social he will back a primary challenger to Sen. Thom Tillis after the lawmaker refused to support the motion to proceed.
• Senator Tillis warned that codifying the bill’s Medicaid changes could cost North Carolina up to $40 billion in federal funding.
• With just a 53–47 Republican majority in the Senate, losing more than three GOP votes could derail the legislation.