The Senate pushes forward a large tax cut and spending bill with significant Medicaid cuts and a projected $3.3 trillion debt increase over 10 years, amid internal GOP opposition and policy debates.

The Senate parliamentarian's disallowance of Medicaid cuts in the GOP tax bill complicates Republican budget plans, affecting Medicaid financing and federal health care policy.

Congressional Budget Office analysis projects $3.7T tax cuts and $2.4T deficit rise under Trump tax bill, highlighting impacts on Medicaid, health coverage, and federal spending.

Republicans are moving away from ACA repeal efforts, focusing instead on Medicaid cuts to fund tax legislation. This shift impacts health insurance coverage and U.S. health policy.

House Republicans face internal divisions over Medicaid reform proposals tied to $1.5 trillion federal spending cuts in their budget reconciliation effort, with debate over coverage impacts and fiscal strategies.