The Senate republicans compete on the changes of Medicaid in the Trump tax package

The Senate Republicans are changing regularly in their quest to advance the “big and beautiful bill” of President Donald Trump, but some remain dissatisfied with one of the most crucial parts of the package.

The Senate finance committee unveiled its part of budget reconciliation on Monday evening which directly deals with the reduction of tax reductions by the Permanent President and the most controversial proposed Medicaid changesTax problems of niche and green energy subsidies of the Biden era.

The Senate Republicans met behind closed doors to obtain an intensive course on the bill, and some left the distraught arrangements they hoped to see on the floor of the cut room. Head of the majority of the Senate John ThuneRs.d. cannot afford to lose three votes in the upper room.

The Senate panel navigates delicate compromises on Medicaid, taxes in the last piece of Trump’s megabill

President Donald Trump speaks with journalists while stealing on the Air Force One on the way to Calgary, Canada, at Joint Andrews, MD., Monday, June 16, 2025. (AP photo / Mark Schiefelbein)

And because of the nature of budgetary reconciliation, which allows legislators to bypass the filibusier, it cannot count on democrats, who would require serious changes to wider legislation, to help pass the package.

The modifications made to the tax rate of the Medicaid supplier, which were struck by the version of the bill of the bill of the bill, in particular ruffled feathers among the Republicans who warned not to revise the health care program which could prevent rural hospitals and American workers from their advantages.

“I want changes,” said senator Lisa Murkowski, R-Alaska. “I am still not satisfied with the place where we are on Medicaid.”

“ It’s bad ”: Hawley warns the Senate Gop not to start the Americans from Medicaid in Trump Megabill

The head of the majority of the Senate, John Thune, indicates that the changes are subject to the version of the chamber of the “Big and Beautiful Bill” of President Trump. (Getty Images)

The Senate financing committee went further than freezing the chamber of the tax rate of service provisions, or the amount that Medicaid state programs pay to health care providers on behalf of the beneficiaries of Medicaid, for the expansion of the non -affordable care law, and include a provision which reduces the rate of expansion states annually until it reaches 3.5%.

To date, 41 states and Washington, DC, have opted for the Medicaid expansion program. The idea behind the changes to the taxes of providers’ prices was to help pay partly Trump’s gigantic bill and discourage the remaining states from opting in the expansion of Medicaid.

Senator Josh Hawley, R-MO., Argued, for a state like its rural hospitals, that the bill “is not a good development” for their survival.

Blue state republicans threaten the revolt against the “ great bill of Trump, if the Senate modifies the key tax rule

“I mean, that is really not the case,” he said. “And in order to pay an increase in grants for the Green New Deal? I mean, it confuses me. “”

The version of the fiscal package is added more flexibility to the green energy tax credits than that of the Chamber, a problem pushed by a handful of Senate republicans who wanted to see the truncated elimination of credits in the Bill of the Chamber.

The Senate Republicans met Tuesday afternoon centers for Medicare and Medicaid Services, Dr. Mehmet Oz to discuss Medicaid adjustments in the bill. Oz said that the White House “did not believe” that the change in providers would influence hospitals’ ability to remain viable.

“In fact, the state-of-the-art providers and payments are often used to pay institutions that have the best links with the government government, not necessarily hospitals that need aid most,” he said. “It is important that we clean this system.”

Dr. Mehmet Oz, director of Medicare and Medicaid Services newly sworn, is expressed during a ceremony at the Oval Blanche office on April 18, 2025 in Washington. (Andrew Harnik)

Senator John Hoeven, RN.D., sought to extinguish anger among his colleagues, noting that the chairman of the Senate finance committee, Mike Crapo, R-Assaho and the leaders of the Senate, always worked on what the final product would look like.

“Everyone has an opinion, and I think it’s going to be like that until we vot,” he said.

Tax hawks were not satisfied with the bill either.

Senator Ron Johnson, R-Wis., Perplexed for a return to expenses of the pre-Cuvid-19 pandemic era, a gouge for federal expenses which would represent billions of dollars more than the approximate objective of 2 billions of dollars in discounts of expenses that some republicans of the Senate watch.

He thought there was “no way” that the current parts of the wider reconciliation package could be fixed and sewn by the self-imposed deadline for the GOP Senate.

“The problem is that it simply does not respect the moment,” he said.

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But Crapo warned that he and the legislators were still working on the folds and that a resolution in the problems of his colleagues could still be found.

“All I can say is that we are going to resolve it,” said Crapo. “We have to work this, not only among our colleagues in the Senate, but with the room and with the White House.”