The Senate has passed the Republican megabill by a vote of 51-50, with three Republican senators opposed (Sens. Tillis, Paul, and Collins). The bill’s latest text became public less than an hour before the vote. 

Now the bill heads back to the House, and until the House votes, this is not a done deal. 

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Senate Republicans used a so-called wraparound amendment to make a host of last-minute changes to the megabill to win holdouts’ votes. Those changes include: 

• Delayed Supplemental Nutrition Assistance Program (SNAP) cuts for certain states. In an effort to appease senators from Alaska, the bill will delay a provision shifting SNAP costs to states for the first time, but only for states with sufficiently high “payment error rates.” This will likely apply to Alaska, DC, Florida, Georgia, Maryland, Massachusetts, New Jersey, New Mexico, New York, and Oregon. This will create a perverse incentive for states to pursue more errors to delay cuts. 
• Bandaid for rural hospitals. The bill’s Medicaid cuts are expected to be devastating to rural hospitals, many of which may close if the bill becomes law. The bill now includes $50 billion in an effort to soften the blow for those hospitals. 

Click below to read analysis of the megabill as it stands now, notable impacts on specific issues and communities, and—should the bill become law—key dates in the months and years ahead. This summary is not exhaustive.

Sent by the National Coalition for the Homeless

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