WASHINGTON—Senate Republicans released an updated version of President Trump’s “big beautiful bill” ahead of plans to start voting as early as Saturday, winning over at least one key holdout with their latest mix of policy changes.

The Senate parliamentarian has advised that a Medicaid provider tax overhaul central to President Donald Trump’s tax cut and spending bill doesn’t adhere to the chamber’s procedural rules, delivering

Senate Republicans have yet to finalize their version of President Donald Trump’s sweeping domestic policy proposal, but GOP lawmakers up for reelection in 2026 are bracing for the political impact of the bill’s Medicaid cuts.

He urged his fellow Republicans to protect the Medicaid “provider tax” boondoggle from proposed cuts in the GOP’s “big, beautiful” tax bill — because their own constituents were making so much money out of it.

The Republican Senate's budget plans face a hurdle as their ambitious Medicaid spending cuts encounter a major challenge. The Senate parliamentarian's ruling has thwarted key reductions, crucial to President Trump's 'big,