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However, one critic noted that the lawmakers "already voted for the largest cut to Medicaid in American history—and when the time comes, they'll cave... once again to give their billionaire donors a massive tax break."
Under pressure from millions of constituents who would be stripped of healthcare coverage under the GOP's slash-and-burn reconciliation package, more than a dozen House Republicans claimed Tuesday that they would not back the Senate's version of the legislation if it contains proposed cuts to the Medicaid provider tax.
"Protecting Medicaid is essential for the vulnerable constituents we were elected to represent. Therefore, we cannot support a final bill that threatens access to coverage or jeopardizes the stability of our hospitals and providers," wrote 16 House Republicans led by Rep. David Valadao (R-Calif.)—whose largely rural Central Valley district has one of the highest concentration of Medicaid recipients in the nation—in a letter to Senate Majority Leader John Thune (R-S.D.) and House Speaker Mike Johnson (R-La.).
"Throughout the budget process, we have consistently affirmed our commitment to ensuring that reductions in federal spending do not come at the expense of our most vulnerable constituents," the lawmakers' letter continues. "We write to reiterate that commitment to those we represent here in Washington."
"We support the Medicaid reforms in H.R. 1, which strengthen the program's ability to serve children, pregnant women, the elderly, and individuals with disabilities," the letter states, referring to provisions in the House version of the so-called "One Big Beautiful Bill Act" that would still slash federal Medicaid spending by billions of dollars, introduce work requirements for recipients, and impose other conditions that critics say would result in millions of vulnerable people losing their coverage in order to pay for a massive tax cut that would disproportionately benefit the wealthy and corporations.
The letter continues:
The Senate proposal also undermines the balanced approach taken to craft the Medicaid provisions in H.R. 1—particularly regarding provider taxes and state directed payments. The Senate version treats expansion and nonexpansion states unfairly, fails to preserve existing state programs, and imposes stricter limits that do not give hospitals sufficient time to adjust to new budgetary constraints or to identify alternative funding sources.
We are also concerned about rushed implementation timelines, penalties for expansion states, changes to the community engagement requirements for adults with dependents, and cuts to emergency Medicaid funding. These changes would place additional burdens on hospitals already stretched thin by legal and moral obligations to provide care.
"Protecting Medicaid is essential for the vulnerable constituents we were elected to represent," the lawmakers concluded. "Therefore, we cannot support a final bill that threatens access to coverage or jeopardizes the stability of our hospitals and providers."
Both chambers of Congress are scheduled to be on recess next week for the Independence Day holiday. Senators still have not voted on the package—and both chambers must pass identical versions of the megabill before it will reach President Donald Trump's desk.
Trump impatiently said on his Truth Social network Tuesday: "To my friends in the Senate, lock yourself in a room if you must, don't go home, and GET THE DEAL DONE THIS WEEK. Work with the House so they can pick it up, and pass it, IMMEDIATELY. NO ONE GOES ON VACATION UNTIL IT'S DONE."
Democratic Congressional Campaign Committee spokesperson Justin Chermol dismissed the 16 GOP lawmakers' letter as "performative bullshit."
"These so-called moderates already voted for the largest cut to Medicaid in American history—and when the time comes, they'll cave to their D.C. party bosses once again to give their billionaire donors a massive tax break," Chermol added.While calling the public lands decision "an important victory," one campaigner also warned that "this threat is far from over."
Critics of Republican efforts to continue wrecking the planet celebrated some small victories after the U.S. Senate parliamentarian on Monday advised that multiple provisions cannot be passed as part of a megabill that only requires a simple majority.
Senate Parliamentarian Elizabeth MacDonough found that some GOP legislative proposals about offshore drilling and mandatory public land sales could not be included in the package due to the so-called Byrd Rule, which bars provisions considered "extraneous to the purpose of implementing budget resolution policies."
Specifically, MacDonough axed a provision that deems offshore oil and gas projects as automatically compliant with the National Environmental Policy Act (NEPA), nullifying their environmental review processes. She also ruled against a proposal requiring offshore fossil fuel leases to be issued to successful bidders within 90 days after the sale, and a separate mandate for the sale of millions of acres of public land.
"This wasn't just an obscure and damaging policy—it was an assault on the places where generations of Americans have hiked, hunted, fished, camped, and connected with the natural beauty of our country."
MacDonough also blocked provisions allowing natural gas exporters to pay to have their project deemed in the public interest; requiring a permit for the construction of Ambler Road, a controversial mining route in Alaska; directing the interior secretary to hold yearly geothermal lease sales; and revoking the secretary's discretion to reduce fees for solar and wind projects on Bureau of Land Management land.
Other provisions under the Senate Energy and Natural Resources Committee's jurisdiction that are still being reviewed include policies that would require that 90% of the revenue from lease sales in the Cook Inlet go to the state of Alaska, starting in 2035; mandate fossil fuel lease sales in the National Petroleum Reserve in Alaska; and force the interior secretary to approve new coal lease applications.
Senate Majority Leader Chuck Schumer (D-N.Y.) on Tuesday applauded MacDonough's decision on the "cruel" GOP policy that "would have gutted America's public lands and auctioned them off to the highest bidder, in yet another bid to benefit the wealthy."
"This wasn't just an obscure and damaging policy—it was an assault on the places where generations of Americans have hiked, hunted, fished, camped, and connected with the natural beauty of our country," Schumer said. "Republicans tried to rip away hundreds of millions of acres of public land—not to help families, not to solve real problems—but to hand yet another gift to the wealthy and well-connected. It was outrageous, it was shameless, and it would have forever changed the character of the country."
"Senate Democrats fought tooth and nail to keep public lands in public hands because these lands belong to everyone—not just the privileged few," Schumer said of Sen. Mike Lee's (R-Utah) proposal that put those lands at risk.
Senate Energy and Natural Resources Committee Ranking Member Jeff Merkley (D-Ore.) also put out a statement welcoming MacDonough's latest moves against what critics are calling the "Big, Ugly Bill" and highlighting his party's opposition.
"Democrats continue to show up and fight every provision of this Big, Beautiful Betrayal of a bill, because this bill is an attack on workers and families everywhere," Merkley said Monday. "Democrats will not stand idly by while Republicans attempt to circumvent the rules of reconciliation in order to sell off public lands to fund tax breaks for billionaires. We will make sure the Byrd Rule is followed and review any changes Republicans attempt to make to the bill."
Like the Democratic leaders, Trust for Public Land CEO and president Carrie Besnette Hauser on Tuesday called MacDonough's latest decisions "an important victory in the fight to protect America's public lands from short-sighted proposals that would have undermined decades of bipartisan work to protect, steward, and expand access to the places we all share."
"Across the country and across party lines, Americans have made it overwhelmingly clear: They do not want to see their public lands sold off to the highest bidder. Land sell-off proposals are deeply out of step with the will of a vast majority of Americans," she noted. "But make no mistake—this threat is far from over. Efforts to dismantle our public lands continue, and we must remain vigilant as proposals now under consideration including a proposal to roll back the landmark, bipartisan Great American Outdoors Act and threaten full, dedicated funding for conservation through the Land and Water Conservation Fund (LWCF)."
"Public lands are not political bargaining chips, but national treasures that power local economies, strengthen public health, and connect millions of people to the outdoors every day," she added. "Trust for Public Land will continue to stand with communities, tribal nations, and bipartisan champions in Congress to defend public lands and ensure they remain protected, accessible, and thriving—for all people, for all future generations."
Senate Majority Leader John Thune (R-S.D.) has suggested that Republicans will not overrule the parliamentarian. According to Reuters, he told reporters on Monday that the review process is "something we have to go through," and "they're working through it. And in some cases, as things are flagged, we're making counteroffers."
Although MacDonough dealt a blow to the GOP agenda, the Trump administration on Monday continued its assault on the planet, announcing plans to end a rule that protects tens of millions of acres in the National Forest System, which would enable road development and timber production on those lands.
"Senate Republicans have now set the stage to potentially do the same thing in service of adding nongermane, devastating policy provisions to their horrific reconciliation bill," one watchdog warned.
Senate Republicans late Wednesday made use of arcane procedural maneuvers to bypass the chamber's 60-vote filibuster and move ahead with a measure to overturn federal waivers that allowed California to set tougher vehicle pollution standards.
The 51-46 party-line vote came after the Senate parliamentarian, the unelected arbiter of the chamber's procedures, said that the Environmental Protection Agency waivers issued at the tail-end of the Biden administration did not qualify as federal rules for the purpose of the Congressional Review Act (CRA).
The CRA gives lawmakers a limited window to overturn federal rules, and resolutions brought under the law are not subject to the Senate filibuster. The Republican-controlled House voted earlier this month to repeal the California waivers with a CRA resolution, paving the way for Senate action.
On Wednesday, Senate Republicans engaged in a procedural gambit that allowed them to skirt the filibuster while claiming they did not vote to overrule the parliamentarian. As The New York Times explained, Republicans "argued that the situation was 'novel'... allowing the Senate to establish its own course of action since no exact precedents existed."
Lisa Gilbert, co-president of the progressive watchdog group Public Citizen, warned in a statement that the GOP move sets a dangerous precedent, potentially laying the groundwork for Republicans to bypass parliamentarian rulings on provisions of the sprawling reconciliation package that the House passed Thursday morning.
"Tonight they voted to disregard clear legal requirements in their own statutes and rulebook, jettison the judgment of the Senate's referees, and sow long-term chaos so they could pass a brazenly corrupt handout to Big Polluters," said Gilbert. "It's outrageous, dangerous, and reckless in the extreme."
"Senate Republicans have now set the stage to potentially do the same thing in service of adding nongermane, devastating policy provisions to their horrific reconciliation bill of tax handouts for the wealthy and cuts to our social safety net," Gilbert added.