Trump’s Medicaid Mess: Senate Rules Block $250 Billion Cut

Latest

This is a huge setback. Republicans were depending on deep cuts to Medicaid and aid programs to pay for massive tax breaks — a cornerstone of Trump’s economic agenda.

Center for Medicare and Medicaid Services Administrator Dr. Mehmet Oz, center, talks after a policy luncheon on Capitol Hill, Tuesday, June. 17, 2025, in Washington. (AP Photo/Mariam Zuhaib)

But the Senate’s parliamentarian, Elizabeth McDonough, says provisions like limiting Medicaid provider taxes and denying care to certain immigrants cannot be stuffed into a budget bill just to make the math work.

And the kicker: If Republicans leave those provisions in, they’ll need 60 votes — which they do not have.

Despite this, Trump still wants the bill signed by July 4 — but rewrites, opposition from his own party, and the fact that millions could lose care without billionaires getting tax breaks make that a tough sell.