What’s in the G.O.P. Bill to Enact Trump’s Agenda? Tax Cuts, Medicaid Reform and More

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Republicans are pressing for a House vote this week on a sprawling domestic policy bill to enact President Trump’s agenda.

The effort cleared a key hurdle on Sunday, when conservative Republicans on the House Budget Committee who had initially blocked it agreed to let it advance, even as they withheld their support because of concerns that it would swell the federal deficit. They are one of several factions pushing for changes to the bill, forcing party leaders to the negotiating table to cobble together the votes to pass it.

The legislation would slash taxes, providing the biggest savings to the wealthy, and steer more money to the military and immigration enforcement, while cutting health, nutrition, education and clean energy programs to cover part of the cost.

Major portions of the sprawling package remain unresolved amid Republican divisions over cuts to Medicaid and details of the tax plan, among other issues. The changes that the hard-liners on the Budget Committee have called for — including speeding up when new work requirements for Medicaid would kick in and a wholesale repeal of the Inflation Reduction Act — could alienate more moderate Republicans whose support is also crucial to passing the legislation.

Republicans are pushing the package through Congress using a special process known as budget reconciliation that allows them to steer around a filibuster and win approval without a single Democratic vote. But with tiny majorities in both chambers, they can afford to lose no more than three Republican votes in both the House and the Senate if all Democrats oppose it, as expected, and every member is present and voting.

Here is a look at the bill, and the biggest remaining areas of disagreement within the party.

Cutting taxes

The bottom line: The heart of the bill is a roughly $3.8 trillion tax cut that would lock in many of the tax cuts Republicans passed in 2017, including lower marginal income rates, a larger standard deduction and a higher threshold for the estate tax, with some tweaks.