Changes to Medicaid were part of the way GOP lawmakers were attempting to offset the cost of making Trump’s tax cuts permanent. “That’s a big old grenade,” said Sen. Ron J

The nonpartisan Senate official whose office determines if legislation fits within the rules of the chamber dealt Senate Republicans a blow on proposed changes to Medicaid.

Republican leaders are relying on the Medicaid provider tax change to save billions of dollars in the GOP package to offset the cost of trillions of dollars in tax cuts that are their top