The Republican Senate Party returns Medicaid discounts to the Trump tax package

Discounts of spending on the health insurance program for the poor and the disabled partially compensate for revenue losses from tax cuts in this measure, which is a decisive requirement for financial conservatives the Republican Party.

Republican review helps to pay the spending cuts they need to finance the bill, but it can alienate three Senate Senate – Susan Collins from Main and Lisa Morkovsky from Alaska and Tom Teleles of North Carolina – who were pushing to expand the scope of medical discounts.

The Republican Leader of the Senate John Thun is trying to move in the competing demands of the conservatives and moderates during his rush to pass the huge tax and spending package to meet a deadline on July 4.

The Senate legislative rules have ruled a series of major health care provisions in unqualified legislation to obtain a special measure that Republicans use to overcome the normal process of the Senate so that they can avoid providing privileges to Democrats.

This previous decision has invaded $ 250 billion in spending that financial conservatives sought.

But the Senate Parliament, Elizabeth McDono, has ruled that a revised rule would limit the ability of countries to impose taxes on health care providers to help finance Midikid. Email Sunday.

It was not immediately clear how much the budget will be produced by the new version.

The Congress Budget Office estimated that the legislation can lead to the loss of millions of people with health coverage. The result of the result found that the previous repetition of the Senate Bill will lead to 11.8 million people losing health benefits by the end of the contract.

previously: Trump tax bill reaches 250 billion dollars for the Senate’s health obstacle

The revised judgment is likely to be bad news for HCA Healthcare Company and Health care Corp. , As hospitals again face potential discounts to finance medicaid.

The states often use supplier taxes, within some of the rules that already exist, to reduce federal financing and increase payments to facilities such as hospitals.

The Parliament’s version of the provider tax clause, which is the least aggressive than the Senate draft, has provided the federal government for $ 89 billion over a decade, according to Congressional budget analysts.

Alaska, Biden Rules

The Senate Group Corporation has also recorded the measures that would enhance some external clinic payments in the hospital and the Federal Medicaid conformity rates for Alaska and Hawaii, according to the Democrats in the Budget Committee. The measures were included and Thun also sought to beat support, including from Morkovsky from Alaska, which ultimately helped enhance legislation after expressing the frequency.

Read more: Murkowski Voices for progress

Parliament also said that the rulings aimed at preventing efforts to simplify the registration of federal health care and the requirements of employees at the Nursing House during the Biden era. It can threaten billions in savings for the tax bill.

The Congress Budget Office, when considering a similar procedure for a home, aims to prevent the implementation of the enrollment regulations until 2035, estimated at $ 167 billion of savings over the next decade, with a stopping on the basis of employment in the nursing house that would save 23 billion dollars.

The Senate version of the legislation, the axis of Trump’s economic agenda, makes the permanent individual and commercial tax exemptions enact in 2017, with the addition of new temporary comfort periods to additional, adults and car buyers.

The draft law will add hundreds of billions of dollars in a new army spending, border patrol and migration enforcement. To pay the price of revenue losses partially, the draft law reduces spending on medical aid, food assistance to low -income Americans and financial aid to university students.