The wildly unpopular “Big Beautiful” reconciliation package has encountered possibly existential challenges, though Senate Republicans still hope to bring it to the floor by this weekend. Senate Republicans are rewriting key provisions of it after Parliamentarian Elizabeth MacDonough rejected many of Republicans’ proposed Medicaid cuts,

A new proposal to help stabilize rural hospital access is floating around Capitol Hill as Senate Republicans consider their reconciliation bill.

Senate Parliamentarian Elizabeth MacDonough on Thursday denied the GOP plan to cap states' ability to collect more federal Medicaid funding through health care provider taxes -- a controversial provision that would have funded much of the bill's tax cuts. Most of the savings in the bill came from the changes in Medicaid.