Senate Republicans deal with obstacles with tax and health arrangements

Democrats criticize expense as benefiting rich Americans

Rural health centers warn of negative effect from supplier tax cuts

By Bo Erickson, David Morgan and Andy Sullivan

WASHINGTON, June 26 (Reuters) - Republicans in the U.S. Congress rushed on Thursday to deal with nettlesome tax and health care arrangements in their sweeping tax-cut and costs costs on Thursday as President Donald Trump pressed them to pass it by a July 4 deadline.

to promote the $2.4 trillion package at an afternoon White House event that will feature truck drivers, firemens, ranchers and other employees who state they would take advantage of the expense.

But Senate Republicans have yet to produce their version of their legislation ahead of a possible weekend vote, and the total shape of the expense appeared more unpredictable after a nonpartisan referee ruled that numerous healthcare provisions breached the complicated process Republicans are conjuring up to bypass Democratic opposition.
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Those aspects collectively represented more than $250 billion in healthcare cuts, according to Democratic Senator Ron Wyden of Oregon. Democrats have actually lined up versus the costs, portraying it as a wasteful free gift to the most affluent Americans.

It was uncertain whether Republicans might choose to revamp the bill to comply with the complicated budget plan guidelines, as they have already finished with some components, or seek to override the decision by the Senate parliamentarian.

The costs includes much of Trump's domestic program. It would extend his 2017 tax cuts, boost immigration enforcement, no out green-energy rewards and tighten up food and health safety-net programs.
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Republicans who manage both chambers of Congress broadly support the package, and have currently passed it out of the House of Representatives. But they can manage to lose no greater than 3 votes in either chamber, and they remain at odds over a number of provisions-- significantly a proposed tax break for state and local tax payments and a tax on health care companies that some states use to increase the federal government's contribution to the Medicaid health strategy.

The bill would limit those "provider taxes," which nonpartisan watchdogs portray as an accounting technique that drives up Medicaid expenses. But rural medical facilities and other health suppliers alert that those cuts might require them to scale back operations or fail. (Writing by Andy Sullivan; Editing by Scott Malone and Franklin Paul)