Overview
- Four Republican senators—Susan Collins, Lisa Murkowski, Jerry Moran and Josh Hawley—have warned they will vote against the bill if it reduces Medicaid benefits for their constituents.
- Fiscal conservatives are pushing to find over $200 billion in additional savings by targeting waste and upcoding in Medicare Advantage plans.
- Senators remain divided on lifting the cap on state and local tax deductions and on making key corporate tax cuts permanent.
- Objections to proposed SNAP work requirements and new state cost-sharing provisions have left that section of the package unresolved.
- Negotiators are also grappling with language to protect Pentagon spectrum from auction and a decade-long ban on state regulation of artificial intelligence.