Key Medicaid provision in Trump’s big tax cut and spending bill is found to violate Senate rules

WASHINGTON AP The Senate parliamentarian has advised that a key Medicaid provider tax overhaul that is central to President Donald Trump s big tax cut and spending bill does not adhere to procedural rules delivering a crucial blow to Republicans rushing to finish the massive package this week The guidance Thursday from the parliamentarian is rarely ignored and it forces GOP leaders to consider options Senate leaders could try to revise it or strip it from the package Otherwise the provision could be challenged during floor votes requiring a -vote threshold to keep it a tall order in the narrowly split Senate Democrats are unified against the Republican president s bill Republican leaders are relying on the provider tax change to save billions of dollars from the Medicaid medical care operation for the massive tax cuts package But they had been struggling to rally aid because several GOP senators warn it would harm rural hospitals who depend on the funds The outcome is a setback as Senate Republicans hoped to launch votes on the package by the end of the week to meet Trump s Fourth of July deadline for passage The parliamentarian of the Senate is a nonpartisan appointed position a chief arbiter of the chamber s historic and often complicated rules