Senate Republicans Rework Trump Megabill After Parliamentarian Rules Key Provisions Invalid

Senate Republicans are urgently revising President Trump's expansive tax and spending bill, known as the "big, beautiful bill," following several rulings by Senate Parliamentarian Elizabeth MacDonough that struck key provisions including a major Medicaid cost-cutting measure and a cap on state health care provider taxes. These rulings have forced GOP leaders to seek alternative budget offsets and have raised uncertainty about whether they can secure the necessary votes, with some Republican senators openly opposing parts of the bill due to concerns over Medicaid cuts and state impacts, particularly in Alaska and North Carolina. Alaska state leaders warn that proposed cuts to Medicaid and SNAP could severely disrupt rural economies and essential services, highlighting the broader financial strain the bill could impose on vulnerable communities. Despite setbacks and internal opposition, Senate Majority Leader John Thune remains committed to pushing the bill through by the July 4 deadline but faces a narrow vote margin and potential delays. Some Republicans have expressed frustration with the parliamentarian's decisions, though leadership has resisted calls to override her rulings to avoid setting problematic precedents. The final outcome remains uncertain as GOP negotiators continue to rework the bill text and court holdouts to advance the legislation.