Key Medicaid provision in Trump's big tax cut and spending bill is found to violate Senate rules

The Senate parliamentarian has advised a key Medicaid provider tax overhaul that's central to President Donald Trump's big tax cut and spending bill does not adhere to procedural rules. It’s a blow to Republicans rushing to finish the package this week. The guidance from the parliamentarian is rarely ignored and forces GOP leaders to consider options. Republicans could try to revise or strip it from the package. Otherwise, the provision could be challenged during floor votes, requiring a 60-vote threshold to keep it in the package, a tall order in the narrowly split Senate. Democrats are unified against the Republican president's bill. And even GOP senators warn the tax change would hurt rural hospitals.