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

By NPR.org  
   June 27, 2025

Senate Republicans hit a major setback in their race to pass a massive tax and spending package on Thursday, as a chamber official ruled against a key Medicaid provision, putting in doubt plans for a vote by the end of the week. The nonpartisan Senate parliamentarian, who plays a key role in determining what provisions can stay in the fast-tracked bill, said the GOP change to how states can tax Medicaid providers does not adhere to rules for passing the bill with a simple majority. This was a key provision to help offset the costs of the bill's tax cuts.

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