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How Medicaid Ruling Could Blow up Senate GOP’s Plans on Trump ‘Big, Beautiful Bill’

  • On Thursday, Senate Parliamentarian Elizabeth MacDonough blocked over $250 billion in Medicaid-related cuts in Trump's bill.
  • Prompted by the Byrd Rule, Senate Parliamentarian Elizabeth MacDonough applied it to reject non-budgetary Medicaid provisions, blocking over $250 billion in health care cuts from the bill.
  • In response to MacDonough’s ruling, Senate Republicans must retool or drop Medicaid provisions to avoid a 60-vote threshold, risking delays or failure to pass the bill by July 4.
  • More broadly, the delay risks missing the July 4 deadline to deliver the bill to President Trump, potentially forcing a standalone vote needing Democratic support and prolonging legislative gridlock.
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Salon broke the news in San Francisco, United States on Thursday, June 26, 2025.
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