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.

Senate Republicans are facing complex procedural rules as they push to pass a sweeping bill with permanent tax cuts and increased spending on border security, the military and fossil fuels.