Republicans face a crucial stretch this week as they aim to deliver on Trump's agenda

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Speaker of the House Mike Johnson, R-La., appears astatine  a quality    league  astatine  the U.S. Capitol connected  May 6. Republicans are moving   to walk  a sweeping multi-trillion dollar program  to reshape tax, vigor  and migration  policy.

Speaker of the House Mike Johnson, R-La., appears astatine a quality league astatine the U.S. Capitol connected May 6. Republicans are moving to walk a sweeping multi-trillion dollar program to reshape tax, vigor and migration policy. Andrew Harnik/Getty Images hide caption

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Andrew Harnik/Getty Images

By the extremity of this month, House Republicans anticipation to finalize the details of President Trump's "big beauteous bill" that includes sweeping changes to tax, migration and vigor policy. House Speaker Mike Johnson, R-La., has already muscled a fund blueprint for the program done the chamber. But this week poses a overmuch thornier task, arsenic 3 cardinal House committees are putting pen to insubstantial defining policies that volition person far-reaching impacts connected Americans' pocketbooks and for many, their healthcare.

Johnson is balancing demands betwixt 2 competing camps wrong his conference. Swing territory Republicans are disquieted melodramatic cuts to information nett programs and fashionable taxation incentives could endanger their reelection prospects. More blimpish members are arguing voters enactment a GOP trifecta successful spot to slash the shortage and restructure authorities programs.

Speaker of the House Rep. Mike Johnson, R-La., speaks to reporters pursuing  a House Republican league  gathering  astatine  the U.S. Capitol connected  May 6. Republicans are facing interior   divisions implicit    Medicaid arsenic  they enactment    to enact President Trump's home  argumentation  agenda.

"I deliberation the last merchandise is going to beryllium favorable to everybody," Johnson predicted past week.

The fiscal equation Republicans are trying to lick is however to scope the $1.5 trillion successful spending cuts called for successful their blueprint to offset the outgo of extending President Trump's 2017 taxation cuts. A ample chunk of the GOP league views the existent people arsenic $2 trillion successful savings.

Last week, Texas Republican Chip Roy told reporters determination were inactive astir "20 positive issues" that request to beryllium resolved. Johnson wants to get the measure done the House and to the Senate by Memorial Day, with the extremity of having it to President Trump for his signature by July 4.

But the existent deadline for Republicans is mid-July. That's erstwhile Treasury Secretary Scott Bessent says Congress needs to summation the country's borrowing authorization to debar a perchance catastrophic authorities default. GOP leaders program to summation the indebtedness ceiling for 5 years successful this package.

That clip framework volition beryllium enactment to the trial arsenic Republicans effort to resoluteness the astir contentious and wide-reaching policies successful the coming days. Here is simply a little look astatine immoderate of the cardinal sticking points.

Medicaid

Republicans are considering a scope of structural changes to the associated federal/state healthcare programme that covers roughly 72 million low-income, aged and disabled Americans. The House Energy and Commerce Committee, which oversees the program, released their planned changes precocious Sunday and person zeroed successful connected a fistful of reforms that are broadly supported among some blimpish and mean GOP lawmakers.

They've committed to adding enactment requirements for "able-bodied" adults who person benefits, requiring those enrolled to study moving astatine slightest 80 hours a month. They besides outlined changes to parts of the enrollment process and placed restrictions connected states' quality to rise taxes connected healthcare providers, a signifier that successful crook attracts much national matching dollars. The measure besides references an overarching extremity of eliminating "waste, fraud and abuse" wrong the program.

 U.S. Vice President JD Vance, Senator Tom Cotton, a Republican from Arkansas, Senator John Barrasso, a Republican from Wyoming, President Donald Trump, Senator Shelley Moore Capito, a Republican from West Virginia, and Senate Majority Leader John Thune, a Republican from South Dakota, talk  to the media connected  Jan. 8, 2025.

Missing from the committee's connection are drastic changes to however the authorities pays for the Medicaid enlargement that accrued eligibility for lower-income childless, working-age adults arsenic portion of the Affordable Care Act. Conservative hardliners had pushed for a alteration successful national contributions to states with this expanded coverage. The program besides does not see the per idiosyncratic headdress connected national spending that immoderate lawmakers had called for. 

Talks are continuing this week and it's unclear however projected changes volition play among a divided House GOP that needs astir full unity to get the eventual spending measure passed. The projected changes to Medicaid are expected to reap astatine slightest $715 cardinal successful savings, on with different $197 cardinal from further changes unrelated to Medicaid, according to an estimation by the nonpartisan Congressional Budget Office. As a effect of these changes, the CBO besides recovered that astatine slightest 8.6 cardinal radical would suffer their wellness security successful the adjacent 10 years.

Extending Trump's taxation cuts

Republicans suggest making the 2017 Trump taxation cuts that volition expire astatine the extremity of 2025 permanent. In their full program released Monday, the House Committee connected Ways and Means added caller taxation breaks that the president campaigned connected successful 2024 — including no taxes connected tips oregon overtime pay. But if Republicans can't deed $1.5 trillion successful spending cuts to offset the costs of taxation cuts, they volition beryllium forced to standard backmost their ambitions.

One imaginable gross root that's absent from the program are immoderate caller income taxes connected precocious earners. President Trump had floated allowing the taxation bracket for precocious earners — those making betwixt $2.4 cardinal and $5 cardinal — to spell from 37% to 39.6%. But connected Friday helium pulled backmost from that, penning connected societal media that though helium backed the "TINY" change, Democrats would usage it arsenic a run contented against Republicans. "Republicans should astir apt not bash it, but I'm OK if they do!!!" Trump said.

President Trump speaks during a property   league  successful  the Roosevelt Room of the White House connected  Monday. Trump has said Republicans should "probably not" rise  taxes connected  precocious   earners, "but I’m OK if they do!!!"

President Trump speaks during a property league successful the Roosevelt Room of the White House connected Monday. Trump has said Republicans should "probably not" rise taxes connected precocious earners, "but I'm OK if they do!!!" Andrew Harnik/Getty Images hide caption

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Andrew Harnik/Getty Images

Johnson and different apical GOP leaders are connected the grounds opposing raising taxes.

The program released by the Ways and Means committee would besides found a caller benignant of spot called a "MAGA account," which stands for "money relationship for maturation and advancement." Based connected the substance of the bill, it appears to beryllium a tax-exempt spot created by the national authorities for younger Americans. Up to $5,000 tin spell into the accounts annually and beneficiaries tin usage the funds to wage for higher education, a tiny concern and their archetypal home. It terminates erstwhile the beneficiary turns 31.

SALT

One of the astir contentious issues remaining successful fund talks is besides 1 of its astir obscure: the authorities and section taxation deduction, oregon SALT.

The 2017 taxation measure capped the magnitude that taxpayers successful respective (mostly bluish states) tin deduct for authorities and section taxes astatine $10,000 per year. During his 2024 reelection campaign, Trump vowed to get escaped of the cap, but doing truthful would adhd important costs to the GOP bundle and astir Senate Republicans don't enactment scrapping the cap.

Speaker of the House Mike Johnson, R-La., left, and Senate Majority Leader John Thune, R-S.D., clasp  a quality    league  connected  passing the fund  solution  successful  the U.S. Capitol connected  April 10, 2025. (Bill Clark/CQ-Roll Call, Inc via Getty Images)

The combat implicit SALT is expected to beryllium a large sticking constituent erstwhile the Ways and Means committee begins its markup of the measure connected Tuesday. The committee has projected lifting the headdress connected SALT to $30,000. However, a fistful of GOP lawmakers representing districts successful states similar New York, New Jersey and California with precocious section spot taxes are starring the propulsion for a higher cap. They importune the measure indispensable see a proviso with a fig northbound of $30,000.

Rep. Nick LaLota, R-N.Y., has been a staunch advocator for a higher deduction arsenic portion of the bill. He told reporters past week that discussions person "a batch much to spell now," but yet helium thinks Republicans volition scope a deal. The contented is simply a reddish enactment for him and astatine slightest 4 different colleagues. And with Republicans clinging to a razor-thin bulk successful the House, their absorption could descend the bill.

"There is nary measure unless there's a hole connected SALT," LaLota said. "The 5 of america volition ballot nary connected a measure unless there's a hole connected SALT."

Federal nutrient assistance

Republicans are besides discussing plans to displacement immoderate of the costs of the Supplemental Nutrition Assistance Program (SNAP) to the states, which is expected to effect successful large cuts successful the numbers of radical who presently person the benefits. Some Republicans who correspond plaything districts are cautioning that they privation to guarantee nary cuts successful benefits effect from immoderate changes to the program.

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