House Republicans Intensify Budget Negotiations as Major Health and Social Cuts Loom

Introduction
House Republicans are locked in marathon negotiations over President Trump’s sweeping budget bill, a legislative package that would permanently extend the 2017 tax cuts, ramp up spending on defense and immigration enforcement, and enact deep reductions to health and social programs. As the bill advances through Congress, the nonpartisan Congressional Budget Office (CBO) has issued a stark warning: the plan could strip health coverage from up to 14 million Americans and automatically trigger over half a trillion dollars in cuts to Medicare under the Statutory Pay-As-You-Go Act. With the GOP’s narrow House majority and sharp internal divisions, the bill’s fiscal impact and the risks to health and social coverage have become a flashpoint in both chambers, setting the stage for a high-stakes political showdown.