Over a dozen House Republicans, led by Rep. David Valadao, are refusing to support the Senate’s tax and spending bill unless changes are made to protect Medicaid funding. They argue the Senate’s proposed cuts go too far and could harm rural hospitals and vulnerable communities. The dispute focuses on limiting state-directed payments and provider taxes, which critics say would create funding shortfalls. Although these Republicans supported the House version—with $700 billion in cuts—they oppose the Senate’s more aggressive approach. Their resistance could delay passage of the bill, which GOP leaders aim to finalize by July 4.
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