Overview

• Senate Majority Leader John Thune and Finance Chair Mike Crapo are in talks with holdout Republicans, including Josh Hawley, Lisa Murkowski and Susan Collins, to modify provider tax caps and Medicaid work requirements.
• Leadership plans to release a revised tax and spending package early next week and set up vote-a-rama ahead of a self-imposed July 4 passage deadline.
• President Trump has intervened in discussions, telling Sen. Hawley he opposes Medicaid cuts beyond the House plan and signaling he will help secure final support.
• Senators Markwayne Mullin and John Hoeven warned that any delay after June 29 could weaken momentum for the megabill, which needs 51 votes for passage.
• Hospitals and advocacy groups, including America’s Essential Hospitals, have warned that capping provider taxes at 3.5 percent by 2031 risks rural hospital closures and reduces coverage for Medicaid beneficiaries.