Senate GOP Unveils Medicaid, Tax Portions of Trump Agenda Bill

Reactions reveal the delicate balance needed to get the critical legislation approved by both houses.

The U.S. Capitol is seen as the House Rules Committee prepares to meet for an overnight markup of the One Big Beautiful Bill Act in Washington on May 20, 2025. Kevin Dietsch/Getty Images

The Senate Finance Committee released portions of a revised version of the One Big Beautiful Bill Act, reigniting the debate over changes to the Medicaid program and the State and Local Tax Deduction.

The draft goes beyond the Medicaid cost-saving measures passed by the House, despite a plea from House Speaker Mike Johnson (R-La.) that Senators not tinker too much with the legislation.