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.
In a June 24 letter to Senate Majority Leader John Thune (R-S.D.) and House Speaker Mike Johnson (R-La.), the group—led by Rep. David Valadao (R-Calif.)—voiced opposition to the Senate’s plan to lower the federal cap on Medicaid provider taxes from 6 percent to 3.5 percent.
This change, along with other Senate provisions, would place new financial strain on hospitals and make it harder for states to sustain existing Medicaid programs, they said….