Balance of Power

Senate Rulekeeper Deals Blow to Trump Tax Bill

Jun 26, 2025
Tyler Kendall, a Bloomberg Washington Correspondent, and Laura Galante, a Principal at WestExec Advisors with a background in cybersecurity, dive into the impacts of the Senate rulekeeper's decision on Trump’s tax bill. They discuss the hurdles Senate Republicans face and the potential $250 billion cuts to healthcare, as well as the implications for rural hospitals. The conversation also explores the interplay between legislative dynamics and cybersecurity threats, emphasizing the urgent need for strategic coalition-building in Congress.
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INSIGHT

Parliamentarian Halts Medicaid Tax Cut

  • The Senate parliamentarian advised that lowering the Medicaid provider tax doesn't meet reconciliation rules, impacting the bill's health care cuts by $250 billion.
  • Republicans might need to revise this provision, potentially delaying the July 4th deadline.
ANECDOTE

Rural Hospitals Oppose Tax Cut

  • Rep. Erin Houchin shared that rural hospitals back home strongly oppose the Senate's proposed provider tax reduction.
  • She emphasized the need to provide something in return to maintain rural hospital funding.
INSIGHT

Parliamentarian Advises, Chair Decides

  • The parliamentarian advises the chair but does not rule; the chair can accept or reject this advice.
  • Overturning the chair's decision requires 60 votes, giving Senate leadership leverage over reconciliation rules.
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