The Senate parliamentarian has advised that a key Medicaid provider tax overhaul that's central to President Trump's "One Big Beautiful Bill" doesn't adhere to procedural rules, delivering a crucial blow to Republicans rushing to finish the massive package this week.
- Parliamentarian Elizabeth MacDonough ruled on Thursday that the section of the tax cut and spending bill covering the Medicaid cuts and tax overhaul violates the Byrd Rule, which determines what legislation can be passed with a simple majority through the budget reconciliation process, the Hill reports.
- Guidance from the parliamentarian is rarely ignored, and it forces GOP leaders to consider options, the AP reports. Senate leaders could try to revise it or strip the iffy parts from the package. Otherwise, the provision could be challenged during floor votes, requiring a 60-vote threshold to keep it—a tall order in the narrowly split 100-member Senate. Democrats are unified against the bill.