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July 1, 2025legislationMedicaidTax PolicyFederal BudgetHealthcarelegislationhealthcaretaxation

Senate Finance Committee Trades $930B Medicaid Cuts for Corporate Tax Breaks

The Senate Finance Committee brokered the core policy trade at the heart of the One Big Beautiful Bill: $930 billion in Medicaid spending cuts over 10 years were paired with permanent corporate tax rate reductions and extension of individual rate cuts from 2017. The negotiations exposed deep divisions within the GOP caucus between fiscal conservatives demanding deeper cuts and moderates from expansion states protecting Medicaid beneficiaries.