- Conservatives push for more spending cuts
- Medicaid, energy provisions also cause woes
Only four Republican defections could dash the GOP’s goal of delivering a massive tax and spending package to President Donald Trump by July 4.
If Senate Majority Leader
The megabill, which is still being shaped after parliamentarian rulings nixing certain provisions, is the biggest test yet for Thune’s ability to wrangle his conference.
“We clearly have some members that can go from angel to a-hole in about three seconds,” Sen. John Kennedy (R-La.) said. “There’s nothing wrong with having a meltdown. You just can’t let yourself unpack and live there.”
Thune has threatened to keep the Senate in session until the bill is passed. Even if Thune can secure the votes, the measure will head back to the House where a similarly tight margin and opposition to the Senate’s version is already causing trouble.
Here are the senators to watch as the deadline approaches:
Rand Paul
Republicans are assuming fiscal hawk and libertarian Sen.
He’s repeatedly said he would vote for the measure if Republicans separate out the debt limit — which leadership says isn’t on the table. The Senate bill proposes raising the debt limit by $5 trillion. Senate Republicans also shut down Paul’s proposal for the border security portion of the text, even though he’s chair of the Homeland Security and Governmental Affairs Committee.
“I’ve told them all along what it takes,” Paul said. Without the Kentucky senator, Republicans have been working to negotiate with senators they see as more likely to convince.
Ron Johnson
Sen.
Johnson has been pushing to consider the bill in multiple parts. For his vote, he says he’s asked for a commitment to reduce spending to pre-pandemic levels and a process to maintain that ceiling.
Although Johnson has lightened some of his rhetoric criticizing the bill in recent days, he still released a report last week doubling down on his concerns about spending. “The whole point of laying out the report was to get everybody to acknowledge and admit reality,” he said.
Josh Hawley
Sen.
“We’re talking so that’s good,” Hawley said. “There’s a number of different things they can do. They have to do something, you cannot defund rural hospitals.”
The measure would limit Medicaid provider taxes, which states use to collect more federal matching funds. Sen. Jim Justice (R-W.Va.), whose state relies on Medicaid, has also raised concerns about the provider tax.
Susan Collins
Sen.
Collins, who is up for re-election in 2026 in a Democrat-leaning state, has continued to raise concerns about Medicaid as she faces outside pressure, including from op-eds, protests at home, and lobbying by health groups. She however, has a history of following in line with her party.
Lisa Murkowski
Sen.
“The fact that Senator Hawley is in alignment with Lisa Murkowski and Susan Collins on this issue has raised a few eyebrows,” Murkowski said about Medicaid on a recent podcast. Murkowski and Collins have also raised concerns about blocking funds to Planned Parenthood.
Mike Lee
Sen.
Lee said Monday the bill was “moving in the wrong direction.” Lee, who chairs the Senate Energy and Natural Resources Committee, has also been facing pushback on his provision in the legislation to raise revenue through public lands sales.
Rick Scott
Another fiscal hawk who’s sought deeper cuts, Sen.
He says Medicaid shouldn’t be paying out more than Medicare and states shouldn’t be eligible for expanded federal Medicaid payments for new enrollees after two years.
“There is not a Republican here that doesn’t want to pass the bill,” Scott said. “But we all want to make sure it’s good enough.” Scott was chief executive officer of Columbia/HCA Healthcare, which was found guilty of defrauding Medicare and Medicaid.
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