Overview

• Senate Republicans initiated a vote-a-rama on June 30 to consider a reconciliation bill that pairs $3.8 trillion in tax cuts with over $1 trillion in reductions to Medicaid and safety-net programs.
• The Congressional Budget Office projects that the plan would cut $1 trillion from Medicaid by 2034 and increase the number of uninsured by 11.8 million.
• The legislation’s 80-hour monthly work requirement for able-bodied Medicaid recipients raises concerns about administrative hurdles and widespread disenrollment.
• Republican Sen. Thom Tillis’s decision to not seek reelection and his floor criticism underscore GOP divisions over the bill’s health-care provisions.
• Public figures including John Oliver and Illinois Gov. JB Pritzker have amplified scrutiny by highlighting the bill’s wealth-skewed tax cuts and potential state budget strains.