Some Medicaid cuts proposed in Republicans' "big beautiful" bill have been rejected by the Senate parliamentarian for inclusion in the legislation. Yet other parts of the proposed Medicaid cuts — including new work requirements of 80 hours per month and more frequent redetermination evaluations every six months — were not questioned by the Senate referee.

The Senate parliamentarian has advised that a Medicaid provider tax overhaul central to President Donald Trump’s tax cut and spending bill doesn’t adhere to the chamber’s procedural rules, delivering a crucial blow as Republicans rush to finish the package this week.