WASHINGTON (AP) — The Senate parliamentarian has advised that a key Medicaid provider tax overhaul that is central to President Donald Trump’s big tax cut and spending bill does not adhere to procedural rules, delivering a crucial blow to Republicans rushing to finish the massive package this week.

The Senate parliamentarian has advised that a Medicaid provider tax overhaul central to President Donald Trump’s tax cut and spending bill doesn’t adhere to the chamber’s procedural rules, delivering

The Senate has overhauled President Donald Trump’s One Big Beautiful Bill, sparking serious concerns over federal spending and social programs in the House.