The bill, ushered through Congress by Republican leadership and signed by Trump Friday, includes $4.5 trillion in tax cuts, slashes spending on Medicaid, and creates temporary tax deductions for overtime and tipped income. It includes $170 billion for immigrant detention and for new personnel for Immigration and Customs Enforcement.

The Senate parliamentarian nixed a number of proposals Republican lawmakers hoped would help pay for more than $4.5 trillion in tax cuts.

State officials estimate 310,000 Pennsylvanians will lose Medicaid coverage and anticipate strain at health facilities caused by federal budget cuts.

Trump, Senate GOP face big setback on tax bill's Medicaid overhaul Republican provisions to cut Medicaid spending have been a key battleground as the Senate prepares to debate the bill as soon as ...

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 a crucial blow as Republicans rush to finish the package this week.

The recent approval of a sweeping tax and spending cut package by Republicans, led by President Trump, has sparked widespread concern. The legislation's $1.2 trillion Medicaid cuts threaten rural healthcare,