❓WHAT HAPPENED: Senate Republicans failed to restore a provision barring illegal immigrants from accessing Medicaid to the ‘One Big Beautiful Bill’ after it was thrown out by the Senate Parliamentarian.
👤WHO WAS INVOLVED: Senate Republicans, Senate Parliamentarian Elizabeth MacDonough, and President Donald J. Trump.
📍WHEN & WHERE: The ‘vote-a-rama’ on amendments to the budget reconciliation bill began on June 30 and was ongoing on the morning of July 1.
🎯IMPACT: The removal of key provisions found in the House of the legislation could push lawmakers in the lower chamber to either outright oppose or demand amendments to the Senate bill once it is passed. This could jeopardize the chances of passage or delay adoption of the ‘One Big Beautiful Bill’ beyond President Trump’s July 4 deadline.
Senate Republicans failed to re-add a measure preventing illegal immigrants from accessing Medicaid to the ‘One Big Beautiful Bill’ during the longest ‘vote-a-rama’ in American political history. The measure was rejected with 56 Senators in favor and 44 opposed. Typically, the amendment would have needed only 51 votes to be adopted. However, Senate Parliamentarian Elizabeth MacDonough ruled that the provision violated the Byrd Rule, which raises the vote threshold to 60 votes to break a filibuster.
The removal of the measure has angered conservatives who saw the provision as a key component of the budget reconciliation legislation. Notably, a number of policies that were adopted in the House version of the bill have been stripped in the Senate by the Parliamentarian.
While the core of the legislation remains intact, including the implementation of President Donald J. Trump‘s campaign promises of no tax on tips, no tax on social security income, no tax on overtime income, and making permanent the 2017 Trump tax cuts—other provisions that prevented Medicaid funds from being used for the gender transition of minors and the clawback of funding for Planned Parenthood were stripped by the Parliamenarian. Consequently, the more watered-down Senate legislation could be seen as unpalatable in the House.
Some “moderate” House Republicans are already balking at the Senate bill’s larger direct cuts to Medicaid. If they’re joined in opposition by conservative House Republicans, it may be difficult to find a path to bring both sides back to supporting the legislation, jeopardizing its final passage.
President Trump has said he wants to sign the ‘One Big Beautiful Bill’ into law on July 4, though as of the time of publication, the reconciliation legislation is still stuck in the Senate, so lawmakers on Capitol Hill are running quickly out of time.
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