Written by Ashton Snyder on
 June 29, 2025

Thune, Vance negotiate Senate conservatives' support to push GOP megabill forward

Senate Majority Leader John Thune and Vice President JD Vance successfully negotiated key Medicaid spending cuts to win over Senate conservatives, allowing President Donald Trump's budget reconciliation package to narrowly advance, as The Hill reports.

The bill, featuring increased spending for military and border security, alongside tax cuts, moved past a tough Senate session by a 51-49 vote but faces more hurdles ahead.

On Saturday night, a critical agreement emerged to propel President Trump's budget reconciliation legislation. This package proposes increased allocations for border security, immigration practices, and defense, while simultaneously introducing tax relief measures. Central to these negotiations were requests from Senate conservatives who insisted on deeper Medicaid spending reductions for able-bodied individuals in expansion states.

Conservatives secure vital votes

Securing essential votes was crucial for the bill's passage. Sens. Ron Johnson, Rick Scott, Mike Lee, and Cynthia Lummis were persuaded to go forward with the proposal, resulting in its delicate 51-49 advancement. Reformulation of the bill included provisions to cut Medicaid spending substantially, projecting a $930 billion reduction over the next ten years.

Scott, speaking with journalists following the vote, highlighted meetings with President Trump and his administration: "I met with the president today, met with him quite a bit. Met with the vice president. We all wanted to get to yes and we’re all working together to make sure that happens."

Senate faces extended debate period

Despite this win, the legislative journey is not without obstacles. The Senate will deliberate on the bill for up to 20 hours, with efforts culminating in a possible final vote on Monday. This protracted debate underscores the contentious nature of the Medicaid spending cuts, a pivotal element of the bill.

Recent language changes to the Medicaid provisions have stirred reactions from both ends of the political spectrum. While proponents advocate for the necessity of fiscal responsibility, others convey concern over social ramifications. Senator Ron Johnson, voicing conservative perspectives, emphasized, "We have been working behind the scenes."

Opposition voices emerge within GOP

Not all feedback was positive. House Speaker Mike Johnson and Sen. Josh Hawley expressed their opposition to diminishing the enhanced federal match for Medicaid expansions. Hawley warned against extensive Medicaid cuts, citing philosophical and moral grounds. "I think that this effort to cut Medicaid funding is a mistake," he stated.

Additionally, a lingering debate within the GOP echo their concerns. Hawley further challenged party direction, articulating that deeper reflection is needed: "I think that this has been unhappy episode here in Congress, this effort to cut Medicaid. And I think, frankly, my party needs to do some soul-searching."

Diverging opinions create legislative challenges

Sen.Susan Collins, who opted to advance the debate, nonetheless raised serious reservations about her ultimate support for the bill due to Medicaid financial cutbacks. Her stance underscores the fragile coalition and potential impediments to the bill's final passage. As negotiations behind closed doors influenced the progression, Johnson disclosed the strategic significance of dialogues held with the president, further asserting Trump's readiness to align with budgetary adjustments.

While the GOP remains largely united, nuanced disparities highlight the internal struggles facing lawmakers as they attempt to deliver on budgetary goals without alienating key voter demographics.

Looking ahead, the bill awaits discourse from both Senate sides, as comprehensive examination of implications lies ahead. As Monday looms, senators must reconcile party priorities with broader societal impacts to reach a conclusive vote.

Speakers and traditionalists alike may shake the legislative arena as decisive moments play out. Meanwhile, the nation watches intently, balancing fiscal ambitions with the welfare of its capable-bodied citizens.

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About Ashton Snyder

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