July 14, 2025

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Medicaid changes don't meet Senate rules in 'big, beautiful bill' says parliamentarian

Medicaid changes don't meet Senate rules in 'big, beautiful bill' says parliamentarian

Summary

The Senate parliamentarian ruled that a proposed change to Medicaid tax rules in a Republican tax and spending bill does not meet the requirements for passing the bill through a fast-track process. This decision affects the Republicans' plan to offset tax cuts and complicates the bill's progress.

Key Facts

  • A Senate official, known as the parliamentarian, reviews whether bill parts follow certain rules.
  • The parliamentarian decided that a change to Medicaid provider taxes proposed by Republicans does not meet these rules.
  • This change was meant to help balance the costs of tax cuts in the bill.
  • Republicans introduced a $15 billion rural health fund after this setback.
  • Democrats see the ruling as a victory, as it removes significant healthcare cuts from the bill.
  • The decision impacts over $250 billion in proposed healthcare cuts.
  • Despite the ruling, Republicans intend to continue working on the bill to find a suitable solution.

Source Information