Written by Ashton Snyder on
 June 27, 2025

Senate parliamentarian challenges key Trump policy provisions

Senate Parliamentarian Elizabeth MacDonough has emerged as a powerful roadblock to President Donald Trump's ambitious legislative agenda, striking down nearly 50 provisions from his signature budget bill.

According to The Daily Caller, MacDonough's rulings have forced Senate Republicans to substantially revise their proposals, particularly regarding Medicaid reforms.

The unelected official, who previously advised former Vice President Al Gore on Senate procedure, has determined that several key healthcare provisions violate strict budget rules. These include proposals to prohibit federal Medicaid funding for gender reassignment procedures and deny funding to states covering certain non-citizens.

Conservative Backlash Against Parliamentarian's Authority

Republican Senator Tommy Tuberville of Alabama has become the first GOP member to publicly call for MacDonough's removal. The senator expressed his frustration on the social media platform X, accusing the parliamentarian of deliberately undermining the president's agenda.

Senate Majority Leader John Thune has maintained his support for MacDonough's authority despite the mounting pressure from conservatives. The South Dakota Republican emphasized that overruling the parliamentarian would not be a favorable outcome for the chamber.

MacDonough's role as Senate Parliamentarian, a position she received under former Democratic Leader Harry Reid, gives her significant influence over the budget reconciliation process. This process allows Republicans to pass certain legislation with a simple majority rather than the usual 60-vote threshold.

Critical Medicaid Reforms Face Uncertain Future

The parliamentarian's decisions have particularly impacted proposed Medicaid reforms, forcing Republicans to revisit their strategy. A significant provision targeting state provider taxes, which could have generated hundreds of billions in savings, was among those struck down.

Senate Republicans are now scrambling to rewrite various sections of the bill to comply with parliamentary rules. The revisions are necessary to maintain their goal of achieving $1.5 trillion in mandatory spending cuts.

The timing of these setbacks could jeopardize Trump's self-imposed July 4 deadline for signing the budget package into law. Senate leadership must now balance the need for thorough revisions with the president's ambitious timeline.

Democrats Celebrate Parliamentary Victories

Democratic senators have seized the opportunity to criticize their Republican colleagues' legislative approach. Oregon Senator Jeff Merkley issued a statement characterizing the Republican agenda as favoring billionaires over families.

Senate Republicans have submitted numerous revised proposals to the parliamentarian for review. They remain confident in their ability to achieve their policy objectives despite the setbacks.

The GOP leadership maintains that they anticipated potential challenges from the parliamentarian and have prepared alternative strategies. According to Thune, these obstacles are merely "speed bumps" in their legislative process.

Legislative Process Faces Mounting Pressure

The ongoing parliamentary review has created significant challenges for Senate Republicans as they attempt to advance Trump's agenda. With 47 provisions already flagged for removal or revision, the scope of necessary changes is substantial.

Senate leadership must now navigate complex parliamentary rules while maintaining support within their caucus. The process has highlighted the significant influence of unelected officials in shaping major legislation.

These developments have raised questions about the future of Trump's legislative agenda and the broader implications for Senate procedure. The outcome of this parliamentary battle could set important precedents for future budget reconciliation efforts.

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About Ashton Snyder

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