Overview

• The Senate version deepens proposed cuts beyond those approved by the House by imposing stricter work requirements and more frequent eligibility reviews
• It would cap Medicaid provider taxes and restrict state-directed payments, moves expected to strip billions in federal funding from states
• More than 1,100 organizations have condemned the plan as life-threatening, warning that optional services like home and community-based care would face the first reductions
• With no CBO score yet available, analysts predict multibillion-dollar state budget shortfalls that could shift costs onto other payers and drive up out-of-pocket expenses
• Senate Republicans aim to pass the legislation by July 4 as part of President Trump’s broader domestic agenda despite mounting bipartisan opposition