Washington (AP) – The Senate’s parliamentarian pointed out that A Tax overhaul of Medicaid providers Central to President Donald Trumps Tax reduction and expenditure calculation Is not hazed into the procedural rules of the chamber and delivers a decisive blow, while the Republicans punish the package to end this week.
Instructions from The parliamentarian Is rarely ignored and the Republican leaders are now forced to consider difficult options. The Republicans counted on big ones Reasons for Medicaid and other programs Compensate trillions of dollars in Trump tax breaksYour top priority. Previously, the Senate’s main referee had advised for his often complicated rules against some GOP regulations that end certain immigrants from health programs.
The Republicans tried to answer and some demanded a challenge or shooting. The impartial parliamentarianthat has been in use since 2012. Democrats said the decisions would destroy GOP plans.
Senator Ron Wyden, the Supreme Democrat in the Senate Finance Committee, said the Republican proposals would mean 250 billion US dollars less for the health program: ”
The result is a setback because the Republicans of the Senate hoped to meet the voices by the end of the week to meet Trump’s deadline on July fourth for passage. It is expected that Trump will later be organizing an event in the White House with Americans on Thursday, which would benefit from the legislation from the legislative template, since he hopes to enable the congress to complete his work on the invoice.
GOP leaders already had difficulty collecting the support of Medicaid changes, some senators said they had gone too far and had left millions without reporting. The impartial congress office said that more than 10.9 million people had no health care under the Bill; The Republicans of the Senate suggested deeper cuts.
Republican leaders rely on it The tax change of the Medicaid provider Together with other health restrictions to save billions of dollars and to compensate for the costs of trillion dollars of tax cuts. These tax breaks from Trump’s first term would expire at the end of the year if the congress does not act, which means a tax increase for Americans.
Several GOP senators said that the reduction in the tax change of the Medicaid providers would damage rural hospitals in particular that depend on the money. Hospital organizations have warned that this could lead to hospital closures.
Senator Josh Hawley, R-Mo.
States set up taxes to finance Medicaid, mainly by increasing the reimbursements they receive from the federal government. Critics say that the system is a kind of “laundry”, but almost every state except Alaska uses it to provide health insurance.
More than 80 million people in the United States use the Medicaid program alongside the Affordable Care Act by Obama era. The Republicans want Medicaid to trace his original mission and mainly look after women and children instead of a much larger group of people.
The home fee Would freeze the provider tax at the current level. The Senate’s proposal goes deeper by reducing the tax that some states can impose.
The GOP leaders of the Senate can take off or revise the provisions that violate the rules of the chamber. However, if you progress, these measures could be questioned in a floor vote that require a 60-vote threshold to overcome objections. That would be a big order in a Senate, divided 53-47 and with the Democrat against Trump’s law.
A plan that the Republicans considered would have created a rural hospital fund with $ 15 billion in order to achieve the income for hospitals and providers of lost income. Some GOP senators said that was too much; Others, including Senator Susan Collins from Maine, wanted at least $ 100 billion.
The parliamentarian has worked around the clock since the end of last week to assess the legislation of votes that were already expected on Friday.
On Wednesday and Thursday, the parliamentarian advised several provisions that have blocked access for immigrants who are not citizens for medicaid, medical and other health programs, including one that would have shortened money to states that allow some migrants in Medicaid.
Previously, proposals to cut food brands were decided in violation of the rules of the Senate, as well as a plan to increase the consumer’s financial protection office.
