The Senate Parliamentarian, Elizabeth MacDonough, has just ruled that a raft of health proposals from the Senate Finance Committee are not compliant with Budget Reconciliation and must be struck from the GOP’s One Big Beautiful Bill.
- According to a press release from Senate Budget Democrats, non-compliant items include the framework for a provider tax crackdown – the source of a major Senate GOP rebellion; limiting federal funding for states that permit undocumented migrants to access Medicaid; and additional limits on Medicaid, Medicare & ACA premium tax credits for non- citizens.
- Senate Majority Leader John Thune (R-SD) intends to hold the first procedural votes in the Senate on Friday. Thune will be boosted by President Trump, who will hold an event at the White House at 16:00 ET 21:00 BST to whip GOP Senators on the bill.
- The breadth of MacDonough’s rulings gives Thune several options: He could direct Finance to re-write non-compliant sections of the text, he could remove sections from the final package, or he could ignore the Parliamentarian’s guidance – a move that he has previously opposed and would effectively blow up the Senate filibuster.
- Senator Josh Hawley (R-MO) indicated on X that Trump told him yesterday he supports the more moderate House language on the provider tax, signalling that the Senate might accept a compromise deal.
- The Byrd Bath on the Finance Committee text is still ongoing with no determination yet on whether the GOP can use 'current policy baseline' to zero out the cost of extending the 2017 TCJA - arguably the most consequential decision for the bill. The NYT has a running tally here.