GOP charges ahead despite deep divisions on Medicaid

House Republicans push a major budget package that includes Medicaid cuts and a partial extension of Trump’s 2017 tax cuts, despite sharp divisions within the GOP. Moderates and conservatives clash over proposals such as raising the SALT tax deduction cap and imposing stricter Medicaid work requirements. Key moderates from high‑tax states oppose the current SALT cap proposal, while conservative hardliners demand deeper Medicaid reforms. With a slim House majority and a Memorial Day deadline, Speaker Mike Johnson faces a tough path to unite his party. Meanwhile, Democrats strongly oppose the bill, calling it a giveaway to the wealthy at the expense of health care for millions.