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Senate Republicans Aim for Vote on Trump’s ‘Big Beautiful Bill’ Despite Medicaid and SALT Disputes

Disputes over Medicaid cuts, SALT deduction limits, rural hospital funding, parliamentarian rulings threaten to delay a planned Friday vote under budget reconciliation

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Overview

  • Senate Majority Leader John Thune has scheduled a procedural vote for Friday, but unresolved amendments and parliamentarian rulings could delay final passage into the weekend.
  • President Trump is pressing Senate Republicans to complete the ‘Big Beautiful Bill’ before the July 4 recess, a package that would permanently extend $4 trillion in 2017 tax cuts and raise the federal debt ceiling.
  • The Senate’s deeper Medicaid reductions have drawn criticism from GOP senators worried about coverage losses for millions and the impact on rural hospitals.
  • House and Senate Republicans remain split over the SALT deduction, with the House seeking a $40,000 cap and the Senate retaining the current $10,000 limit.
  • Key provisions, including SNAP funding shifts and environmental review waivers, have been ruled out of order by the parliamentarian, forcing lawmakers to redraft savings measures.