President Donald Trump is shifting his gaze back to matters at home — specifically his “One Big Beautiful Bill” — and probably not a moment too soon for Republicans in Congress. The latest stumbling block popped up when the Senate parliamentarian judged that a plan to slice $250 billion from Medicaid and other health-care spending didn’t meet the chamber’s arcane rules, Bloomberg’s Rachel Cohrs Zhang, Erik Wasson and Erin Durkin report. Trump Photographer: Francis Chung/Politico That sends the provision back for a rewrite, just a day before Senate Republican leaders were aiming for a vote on their version of the bill. The Medicaid proposal had already been causing trouble. Republicans facing potentially tight races for reelection next year, like Maine’s Susan Collins and North Carolina’s Thom Tillis, balked at such a steep cut — more than what the House had passed. It would hit hit rural hospitals as well as some working-class Republican voters. Missouri Republican Senator Josh Hawley, who may be eying a run for president in 2028, had called the proposed cuts political “suicide.” Trump himself had promised in his campaign that he wouldn’t cut Medicaid, though what constitutes a cut is open to interpretation. On the flip side, hardline conservatives in the Senate and the House are demanding more spending cuts and threatening to delay or block the bill. In addition, Republicans also are still negotiating over a state and local tax deduction limit. Trump is ready to weigh in, after being occupied by the Israel-Iran conflict and a NATO summit. The bill represents the heart of his domestic agenda and many Republicans view it as key to their goals for next year’s midterm elections. (Democrats are honing their counter-message, as well.) While he’s not known for getting into the nitty-gritty of legislative negotiations, Trump is willing and able to twist arms. Press secretary Karoline Leavitt said the president is “very much engaged” with House and Senate Republicans. Trump was hosting an event at the White House this afternoon to promote the bill and add to the pressure on Congress. “There’s something for everybody” in the legislation, he said. Getting a bill to Trump’s desk by July 4 remains the GOP goal. “We’ve got contingency plans,” Senate Majority Leader John Thune said. “We’ve got a plan B, plan C.”— Joe Sobczyk |