The Senate Finance Committee on Monday released its version of the GOP’s package that calls for enacting sweeping cuts to Medicaid and preventing a multi-trillion dollar tax hike on Americans.

Without changes to the GOP's "big, beautiful bill," Sen. Josh Hawley fears "there’s going to be a lot of rural hospitals in Missouri that close."

One of the Medicaid changes that’s likely to see the most pushback from other Republicans in the Senate is the Senate Finance Committee’s proposal to lower the provider taxes from 6% to 3.5% by 2031 for states that have expanded Medicaid under the Affordable Care Act. This would not affect nursing homes and intermediate care facilities.