Normal view

There are new articles available, click to refresh the page.
Today — 1 July 2025Main stream

Rural hospitals, SNAP cuts, Medicaid: Democrats force tough votes on GOP mega-bill

Senate Minority Leader Chuck Schumer, D-N.Y., walks back onto the Senate floor after speaking to reporters at the U.S. Capitol Building on June 30, 2025 in Washington, D.C. (Photo by Andrew Harnik/Getty Images)

Senate Minority Leader Chuck Schumer, D-N.Y., walks back onto the Senate floor after speaking to reporters at the U.S. Capitol Building on June 30, 2025 in Washington, D.C. (Photo by Andrew Harnik/Getty Images)

WASHINGTON — Senate Republicans were closing in Monday on passing their version of the “big beautiful” tax break and spending cut bill that President Donald Trump wants to make law by a self-imposed July Fourth deadline.

But the chamber’s Democrats first kicked off a marathon of amendment votes, forcing their GOP colleagues to go on the record on tough issues, including cuts to health and food safety net programs. As of early evening, Democrats had not prevailed on any votes.

The tactic is used by the opposition party during massive budget reconciliation fights to draw attention to specific issues even as their amendments are likely to fail.

Democrats decried numerous measures in the mega-bill, including new work reporting requirements for Medicaid, the federal-state health insurance program for low-income people and people with disabilities.

Loud opposition has also swelled as legislative proposals shift significant costs of the federal Supplemental Nutrition Assistance Program, or SNAP, to states for the first time.

“I say to our colleagues, ‘Vote for families over billionaires,’” Sen. Amy Klobuchar of Minnesota said on the Senate floor.

The heart of the nearly 1,000-page legislation extends and expands the 2017 tax law to keep individual income tax rates at the same level and makes permanent some tax breaks on business investments and research and development costs.

The bill would also put in motion some of Trump’s campaign promises, including no tax on qualifying tips, overtime or car loan interest, but only for a few years.

The tax cuts are estimated to cost nearly $4.5 trillion over 10 years, and a provision in the bill raises the nation’s borrowing limit to $5 trillion as the United States faces record levels of debt.

Overall, the Senate bill is projected to add $3.25 trillion to deficits during the next decade, according to the latest calculation from the nonpartisan Congressional Budget Office.

Here are some key votes so far:

Planned Parenthood 

Washington Democratic Sen. Patty Murray tried to remove language from the bill that would block Medicaid payments from going to Planned Parenthood for one year unless the organization stops performing abortions.

Federal law already bars funding from going toward abortions, with limited exceptions, but GOP lawmakers have proposed blocking any other funding from going to the organization, effectively blocking Medicaid patients from going to Planned Parenthood for other types of health care.

Murray said the proposal would have a detrimental impact on health care for lower-income women and called it a “long-sought goal of anti-choice extremists.”

“Republicans’ bill will cut millions of women off from birth control, cancer screenings, essential preventive health care — care that they will not be able to afford anywhere else,” Murray said. “And it will shutter some 200 health care clinics in our country.”

Mississippi Republican Sen. Cindy Hyde-Smith opposed efforts to remove the policy change and raised a budget point of order, which was not waived following a 49-51 vote. Maine Republican Sen. Susan Collins and Alaska’s Lisa Murkowski voted with Democrats.

“There was a time when protecting American tax dollars from supporting the abortion industry was an uncontroversial, nonpartisan effort that we could all get behind,” Hyde-Smith said.

Medicaid for undocumented immigrants

Senators from both political parties crossed the aisle over whether the federal government should reduce how much a state is given for its Medicaid program if that state uses its own taxpayer dollars to enroll immigrants living in the country without proper documentation.

The provision was included in an earlier version of the bill, but the Senate parliamentarian ruled it didn’t comply with the complex rules for moving a budget reconciliation bill.

The vote was 56-44, but since it was on waiving a budget point of order, at least 60 senators had to agree to set aside the rules and move forward with the amendment, so the vote failed.

Democratic Sens. Catherine Cortez Masto of Nevada, Maggie Hassan of New Hampshire, and Jon Ossoff and Raphael Warnock of Georgia voted with GOP senators. Maine’s Collins voted with most of the chamber’s Democrats against moving forward.

Texas Republican Sen. John Cornyn asked for the vote, saying he believes the policy change would reduce undocumented immigration.

“Border patrol talks about push and pull factors,” Cornyn said. “One of the pull factors for illegal immigration is the knowledge that people will be able to receive various benefits once they make it into the country.”

Senate Budget Committee ranking member Jeff Merkley, D-Ore., opposed Cornyn’s attempt to get the language back in the bill, saying the policy change would financially harm states that expanded Medicaid under the 2010 health care law for simple mistakes.

“What this amendment says is that if one person, despite state law, through a bureaucratic mistake, is receiving funds, then the whole state pays the price and has their rate on expanded Medicaid changed from 90% to 80%,” Merkley said, referring to the percentage paid by the federal government.

Reduction in funding for Consumer Financial Protection Bureau

An amendment to stop a nearly 50% reduction in funding for the Consumer Financial Protection Bureau was blocked by Republican Sen. Tim Scott of South Carolina, who chairs the Senate Committee on Banking, Housing and Urban Affairs.

Sen. Elizabeth Warren, a Democrat who championed the CFPB after the 2008 financial collapse, attempted to bring the amendment to the floor saying the agency “is the financial watchdog to keep people from getting cheated on credit cards and mortgages and Venmo and payday loans and a zillion other transactions.”

“When this financial cop can’t do its job there is no one else in the federal government to pick up the slack,” Warren said.

Scott blocked her using a budget point of order, saying the reduction still provides “ample funding” for the agency. Democrats tried to waive that procedural tactic, but failed following a 47-53 vote.

An original provision to completely zero out the budget for the CFPB was not included because it did not meet the reconciliation process’ parameters.

Medicaid hospitals and maternal mortality

Senators voted 48-52 to reject Delaware Democratic Sen. Lisa Blunt Rochester’s proposals to send the legislation back to committee to remove language cutting certain funding for Medicaid, which she said would negatively impact “vital hospital services, especially labor and delivery rooms.”

“Today, Medicaid is the single largest payer of maternity care in the United States, covering 40% of births nationwide and nearly half of the births in our rural communities,” Blunt Rochester said. “Obstetric units, particularly in rural hospitals, are closing at alarming rates, actually creating maternity deserts.”

No Republicans spoke in opposition to the proposal, though Maine’s Collins voted in support. 

Supplemental Nutrition Assistance Program

New Mexico Democratic Sen. Ben Ray Luján offered a motion to commit the bill back to committee in order to remove all changes related to the Supplemental Nutrition Assistance Program, or SNAP. It was rejected following a 49-51 vote, though Alaska Republican Sens. Dan Sullivan and Murkowski voted in favor.

“I’m offering my colleagues the opportunity to step away from these devastating cuts, to show our fellow Americans that in this country we care for our friends, family and neighbors who need support,” Luján said.

Senate Agriculture Chairman John Boozman, R-Ark., opposed the proposals, saying that SNAP is “on an unsustainable path wrought with mismanagement and waste.”

“This program has devolved into viewing success as enrolling more individuals to be dependent on government assistance,” Boozman said. “SNAP is long overdue for change.”

Medicaid work requirements

Senators voted 48-52 to reject a proposal from Delaware Democratic Sen. Chris Coons that would have sent the bill back to committee to remove language requiring Medicaid enrollees to work, participate in community service, or attend an educational program at least 80 hours a month. Alaska’s Murkowski was the only member of her party to vote in favor of the effort.

Democrats have expressed concern for weeks that some people would lose access to Medicaid if they forgot to complete paperwork proving that time commitment or didn’t understand how to show the government they met the new requirement.

“It is cruel and dishonest to bury patients, kids and seniors in paperwork and then blame them when they lose their health care, all to further rig our tax code for the very wealthiest,” Coons said.

Kansas Republican Sen. Roger Marshall urged opposition to the proposal, saying that working helps people.

“My question is, don’t you think a job brings value, that it brings dignity?” Marshall said. “Do you not think it brings purpose and meaning to life?”

Rural hospitals and Medicaid

Maine’s Collins and Alaska’s Murkowski both voted for a proposal from Massachusetts Democratic Sen. Ed Markey that would have removed parts of the bill changing Medicaid.

But even with some bipartisan support, the changes were rejected on a 49-51 vote that would have technically sent the bill back to committee for three days to implement the changes.

“My Republican colleagues’ so-called Medicaid cuts replacement fund is like giving aspirin to a cancer patient,” Markey said. “It is not enough. It is pathetically inadequate to deal with the health care crisis Republicans are creating here today on the Senate floor. No billionaire tax break or Donald Trump pat-on-the-back is worth the risk of people’s lives.”

Senate Finance Committee Chairman Mike Crapo, R-Idaho, spoke out against the proposal, saying that rural hospitals have long had financial challenges and that it was clearly “intended to derail this very bill.”

“Unfortunately for far too long some rural hospitals have struggled to achieve financial stability, even with a wide-range of targeted payment enhances,” Crapo said. “These issues pre-date the consideration of the reforms that we are including in the legislation today.” 

 

Before yesterdayMain stream

U.S. House right wing tanks Trump’s ‘big, beautiful bill’ in Budget Committee

The U.S. House Budget Committee votes on Friday, May 16, 2025 on a massive reconciliation package. The vote failed, 16-21. (Screenshot from House webcast)

The U.S. House Budget Committee votes on Friday, May 16, 2025 on a massive reconciliation package. The vote failed, 16-21. (Screenshot from House webcast)

WASHINGTON — Republicans suffered a major setback to their “big, beautiful bill” on Friday, when amid conservative objections the U.S. House Budget Committee failed to approve the measure, a crucial step in the process.

In a 16-21 vote, Reps. Andrew Clyde of Georgia, Josh Brecheen of Oklahoma, Ralph Norman of South Carolina, Chip Roy of Texas and Lloyd Smucker of Pennsylvania broke from their GOP colleagues to block the bill from moving toward the floor, demanding changes to several provisions.

The breakdown over the 1,116-page bill marks an escalation in the long-running feud between centrist Republicans, who have been cautious about hundreds of billions in spending cuts to safety net programs, and far-right members of the party, who argue the changes are not enough.

The committee is scheduled to reconvene Sunday at 10 p.m. Eastern. House Speaker Mike Johnson of Louisiana has said he wants the package on the floor prior to the Memorial Day recess.

Speedier work requirements

Norman said he remains a “hard no” until new work requirements for Medicaid recipients phase in more quickly. As the bill is written, the requirements won’t begin until 2029.

“To phase this in for four years — We’re telling a healthy-bodied, a healthy American that you got four years to get a job. No, your payment stops now,” Norman said.

Brecheen criticized the bill for not going far enough to repeal wind and solar energy tax credits, which he contends are “undermining natural gas jobs.”

“We have to fix this,” he said.

Clyde denounced the measure for not adhering to President Donald Trump’s promise of “right-sizing government,” as Clyde described it. The Georgia Republican also pleaded for lower taxes on firearms and stronger cuts that would put Medicaid on a “sustainable path.”

“Unfortunately, the current version falls short of these goals and fails to deliver the transformative change that Americans were promised,” Clyde said.

Smucker initially voted ‘yes,’ but then joined his four colleagues to oppose the measure.

Trump wrote on his social media platform shortly before the committee voted that “Republicans MUST UNITE behind, ‘THE ONE, BIG BEAUTIFUL BILL!’”

“We don’t need ‘GRANDSTANDERS’ in the Republican Party. STOP TALKING, AND GET IT DONE! It is time to fix the MESS that Biden and the Democrats gave us. Thank you for your attention to this matter!”

‘A wrecking ball to Medicaid’

Democrats, who as expected unified in voting no against the bill, slammed it as “ugly,” “cruel” and a “betrayal.”

“This bill takes a wrecking ball to Medicaid, on which 1 in 5 Americans and 3 million Ohioans depend for medical care — children, seniors in nursing homes,” said Rep. Marcy Kaptur, who represents northern Ohio. “Please come with me to visit the nursing homes. … Perhaps too many on the other side of the aisle have not had to endure a life that has major challenges.”

Rep. Ilhan Omar of Minnesota said the proposed cuts to safety net programs would be “devastating.”

“Their changes will kick millions of Americans off their health care and nutrition assistance. That means more untreated illnesses, more hungry children, more preventable deaths,” she said.

Republican-only bill

Republicans are using the complex reconciliation process to move the package through Congress with simple majority votes in each chamber, avoiding the Senate’s 60-vote legislative filibuster, which would otherwise require bipartisanship. 

Reconciliation measures must address federal revenue, spending, or the debt limit in a way not deemed “merely incidental” by the Senate parliamentarian. That means the GOP proposals must carry some sort of price tag and cannot focus simply on changing federal policy.

Republicans are using the package to extend the 2017 tax law, increase spending on border security and defense by hundreds of billions of dollars, overhaul American energy production, restructure higher education aid and cut spending.

The 11 House committees tasked with drafting pieces of the legislation have all debated and approved their measures along party lines.

The Agriculture CommitteeEnergy and Commerce Committee and Ways and Means Committee all completed their work earlier this week, amid strong objections from Democrats.

Proposed changes to the Supplemental Nutrition Assistance Program, or SNAP, could shift considerable cost-sharing onto states for the first time, presenting challenges for red-state lawmakers who need to explain the bill back home.

More than $600 billion in federal spending cuts to Medicaid during the next decade could also cause some difficulties for moderate Republicans, some of whose constituents are likely to be among the millions of Americans expected to lose their health insurance.

Republicans also have yet to reach an agreement on the state and local tax deduction or SALT, a priority for GOP lawmakers from blue states like California, New Jersey and New York.

The Budget Committee’s role in the process was to package together all of the bills and then send the one massive bill to the Rules Committee, the last stop before floor debate for major legislation.

That won’t be able to happen until after GOP leaders get nearly all the Republican lawmakers on the panel to support the package. 

❌
❌