Congress
Senate GOP leaders make opening offer on hospitals fund
Senate GOP leaders have given their opening offer to their “Medicaid moderates” — a $15 billion stabilization fund for rural hospitals impacted by the pending domestic policy bill.
The details, sent to Senate offices in a memo on Wednesday and confirmed by two people granted anonymity to disclose private negotiations, is unlikely to satisfy a swath of senators concerned that the Senate GOP plan to roll back state provider taxes will negatively impact rural hospitals in their home states. Many states use the taxes to help fund their Medicaid programs.
The offer comes after POLITICO first reported Monday that GOP leaders would include the rural hospital fund in the “big, beautiful bill.” Punchbowl News first reported the initial funding offer Wednesday.
Senators have been clamoring for days to get details of the fund, which GOP leaders privately confirmed in closed-door meetings this week would be included in the megabill . One person who was granted anonymity to describe the talks characterized the $15 billion figure as a “working draft,” predicting that it would change as intense negotiations continue behind the scenes to try to get holdouts on board.
Sens. Josh Hawley (R-Mo.) and Susan Collins (R-Maine) have been some of the most vocal members of the conference raising concerns about the impact on rural hospitals. Both support including a fund while also warning it might not be enough to address their large concerns about the Medicaid changes under consideration; Hawley, for one, has suggested a much higher figure for the fund than what’s now on offer.
Sen. Thom Tillis (R-N.C.) has also privately warned his colleagues about their Medicaid changes, including handing out a fact sheet this week that estimated how much money several states, including his and Hawley’s, would lose under the provider tax proposal. The loss figures Tillis cited are larger than the $15 billion stabilization fund offer.
House Republicans have advanced a bill that would prohibit members of Congress and their family members from trading on certain Washington-focused prediction markets.
The House Administration Committee’s GOP members on Wednesday voted along party lines in favor of the legislation, which proposes to bar lawmakers, their spouses and their dependent children from participating on prediction markets that are based on the outcome of elections or government actions.
It marks the latest in Capitol Hill’s efforts to curb the threat of insider trading on the prediction markets — a risk that has burst into the spotlight in recent months after a series of well-timed trades around the capture of then-Venezuelan leader Nicolás Maduro, Google’s search results and the Iran war. Earlier this year, the Senate banned its members and their staffs from trading on the prediction markets altogether, effective immediately.
And yet, the House Administration Committee vote also revealed a fracture within the House over how far to go in clamping down on lawmakers’ use of the prediction markets. Democrats opposed the bill, saying it didn’t go far enough, while Republicans supported it.
Rep. Joe Morelle of New York, who is the committee’s top Democrat, argued that the legislation is “so filled with loopholes that it looks more like a sieve than a bill.” Instead of passing such a bill, he said the House should follow the Senate’s lead and approve a new and broader resolution aimed at prediction market use among members and their staffs.
“The Senate did it in a matter of minutes — no six-month grace period, no procedurally laborious process,” Morelle said. “They just went to the floor with a two-page resolution and banned it all unanimously. We should do the same.”
House Administration Chair Bryan Steil, who introduced the bill, hit back at his Democratic counterpart’s concerns by questioning why members’ families shouldn’t be allowed to bet on sports through the prediction markets — but can through sportsbooks or casinos.
The Wisconsin Republican pointed to a hypothetical scenario where a member’s child is at college and bets on a sporting event through a prediction market platform. That situation, he said, could be covered by a broader prohibition.
Steil, rather, said his bill is aimed at addressing public policy- and election-focused markets.
“Lawmakers elect to serve the American people, not to enrich themselves by wagering on outcomes from the decisions they make,” he said. “We have a real opportunity to restore trust in Congress by taking necessary steps to eliminate even the appearance of impropriety.”
House Republican leaders canceled plans to advance a procedural measure Wednesday that would set up passage of two fiscal 2027 appropriations bills and other legislation this week, according to three people granted anonymity to describe the decision ahead of a public announcement.
The decision comes amid pressure from GOP hard-liners to prioritize passage of the SAVE America Act, a Republican elections bill that has stalled in the Senate — and after President Donald Trump refused to sign a high-profile bipartisan housing bill passed Tuesday, also in a bid to get the elections bill moving.
Speaker Mike Johnson and other leaders are expected to keep members in Washington for now while they determine next steps, the people said.
Hours after Democratic socialist candidates swept to victory in New York primary races, Republicans celebrated those victories as a boon for their own party as it struggles against headwinds from the Iran war and cost of living issues ahead of the November midterms.
Inside a closed-door House GOP meeting Wednesday morning, the head of the Republican campaign arm said the victories of candidates backed by New York Mayor Zohran Mamdani offered an opportunity for GOP House candidates to draw a sharp contrast.
Rep. Richard Hudson of North Carolina said “Democrats have a Bolshevik revolution going on in their primaries,” according to three people in the room granted anonymity to discuss the private event.
Speaker Mike Johnson also delivered remarks to Republicans setting the stakes of the election after the “radical” left-wing wins and urging Republicans to dig in and raise money to defeat Democrats this fall. He received a standing ovation, the people in the room said.
Hudson said House Minority Leader Hakeem Jeffries will take the socialists’ wins as a sign he needs to navigate further to the left. There will be no cooperation with Republicans, he added.
Other Republicans publicly seized on the left-wing triumphs Wednesday, including Sen. Bernie Moreno of Ohio — who said “the lesson is clear: if Republicans don’t act now, we will lose this country as we know it.”
“We need to be clear about what we stand for,” he wrote on X. “Closed borders, secure elections, economic prosperity for all Americans, and, most of all, proudly protecting the American way of life against socialism.”
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