A group of 16 House Republicans is warning that they won’t support the Senate version of the One Big Beautiful Bill Act unless proposed Medicaid changes—particularly to the provider tax structure and state-directed payments—are rolled back.
16 House Republicans Refuse to Support Senate Medicaid Cuts in ‘Big Beautiful Bill’
The GOP lawmakers say the provider tax rollback would destabilize funding and strain hospitals. They urge keeping the 6 percent ’safe harbor' threshold.

The U.S. Capitol building in Washington on May 22, 2025. Madalina Vasiliu/The Epoch Times