Senate Majority Leader John Thune can afford to lose three Republican senators and still pass the bill, and there are more than that, right now, who have problems with it. Like the House, he will have to balance the concerns from moderate and conservative members of his conference.

Reed cited projections that 40,000 Rhode Islanders would lose health insurance coverage by 2034 as a result of cuts to Medicaid.

A ‘big, beautiful bill’ backed by the Trump administration includes new and extended tax cuts and major changes to public assistance programs like SNAP and Medicaid. It could have big impacts for Michigan residents.