Overview

• Senate Majority Leader John Thune aims to start floor votes on Trump’s “One Big Beautiful Bill Act” by Friday to meet the president’s self-imposed July 4 deadline.
• GOP senators remain split over the Senate’s deeper Medicaid reductions and the impact on rural hospitals, prompting proposals for a dedicated rural hospital stabilization fund.
• The Senate version is about $400 billion more expensive than the House bill, intensifying pressure to find additional savings to offset an estimated $2.4 trillion increase in the national debt.
• The Congressional Budget Office warns that nearly 11 million people could lose Medicaid coverage and 3 million could lose food assistance under the proposed cuts and new work requirements.
• Polls show fewer than 30% of voters back the legislation and several Republican senators warn that steep social program cuts could threaten their reelection prospects.