Overview

• The Senate debate has exposed divisions among Republicans over cuts to Medicaid spending plus stricter food aid eligibility plus expanded tax breaks.
• High-profile senators, including Josh Hawley and Tommy Tuberville, warn that freezing provider taxes could undermine rural hospitals.
• Lawmakers face pressure to curtail the bill’s deficit impact following a CBO projection of a $2.4 trillion national debt increase.
• The House passed the bill by one vote with roughly $4.9 trillion in tax cuts plus spending reductions plus new Medicaid work requirements.
• Senate amendments must clear the House again before the bill can reach President Trump by the July 4 deadline.