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Republican Bill Setback
Republican Bill Setback: Senate Ruling Blocks Key Provisions, Sparks Intra-Party Tensions
In a major development on Capitol Hill, a critical ruling by the Senate parliamentarian has led to a significant Republican bill setback, disrupting GOP efforts to advance their sweeping domestic policy package through the budget reconciliation process. The decision disqualified several key provisions intended to secure cost savings and implement controversial reforms in healthcare and immigration.
Senate parliamentarian Elizabeth MacDonough ruled that several policy elements in the bill do not meet the strict requirements of the budget reconciliation process. This procedure allows certain budget-related bills to pass the Senate with a simple majority, avoiding the 60-vote threshold typically required to overcome a filibuster.
MacDonough invalidated provisions related to Medicaid eligibility restrictions, pharmacy benefit manager reimbursements, and provider tax changes, stating they were not sufficiently budgetary in nature. Collectively, these provisions could have saved between $200 billion and $300 billion over a decade, a substantial loss for Republican fiscal ambitions.
The Republican bill setback triggered frustration among GOP lawmakers, especially as it threatened the passage timeline of what they dubbed the “One Big Beautiful Bill” aligned with former President Donald Trump’s policy agenda. Some conservatives went as far as calling for MacDonough to be fired or overruled, accusing her of acting on partisan motivations.
Senate Majority Leader John Thune acknowledged the setback, noting, “Everything is challenging, but they’re all speed bumps.” He mentioned contingency plans were in place, though the goal to begin voting by the weekend now remains uncertain.
Among the disqualified elements:
Despite these losses, some measures, including work requirements for Medicaid recipients, survived the parliamentarian’s scrutiny. These retained provisions account for the majority of the bill’s projected healthcare savings.
The Republican bill setback also deepened existing divisions within the party. While moderates voiced concern about further changes, House conservatives like Reps. Chip Roy (R-TX) and Andy Harris (R-MD) threatened to oppose the bill if it softened House-passed budget cuts. Simultaneously, blue-state Republicans demanded the retention of a higher SALT (state and local tax) deduction cap, complicating negotiations further.
Democrats welcomed the ruling. Senate Minority Leader Chuck Schumer expressed relief, particularly regarding the removal of provider tax restrictions that could have burdened rural hospitals. He cautioned Republicans against replacing the rejected provisions with equally harmful alternatives.
Sen. Jeff Merkley (D-OR) described the bill as a “Big, Beautiful Betrayal” and pledged to continue contesting its elements under Senate rules. Democrats have also framed the bill as prioritizing tax breaks for the wealthy at the expense of vulnerable communities.
Elizabeth MacDonough, appointed in 2012, has often been at the center of Senate budget rule enforcement. Though respected by many, she has drawn criticism from both parties over the years. During the Trump presidency, Republicans largely supported her rulings. Now, several GOP senators, including Tommy Tuberville (R-AL) and Roger Marshall (R-KS), are questioning her authority and tenure.
Sen. Susan Collins (R-ME), however, defended MacDonough, reminding colleagues of the nonpartisan nature of her role. “She has a job to do,” Collins stated, urging lawmakers to respect the process.
Despite the Republican bill setback, GOP leaders are expected to revise the bill and reintroduce modified provisions that comply with Senate budgetary rules. Time is of the essence, with many Republicans hoping to push the legislation through before the July 4 holiday.
The failure to include key savings mechanisms will add pressure to the GOP to identify alternative cost reductions or risk ballooning the national deficit further. The bill is already projected to add over $2 trillion to the debt over the next decade.
This Republican bill setback is a reminder of the complexities involved in using budget reconciliation to pass sweeping reforms. While Republicans retain hope of passing a revised version, internal rifts and procedural hurdles continue to slow momentum.
The coming weeks will be critical as GOP leaders attempt to regain control of the narrative, modify the legislation to fit within parliamentary boundaries, and unify their caucus to achieve one of the party’s most significant legislative goals this session.
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