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.

Senate Republicans are taking Medicaid cuts even further than their House counterparts with legislation that targets hospital payments.

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.