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Some Congressional Republicans Fume over Senate Parliamentarian Medicaid Advice

WASHINGTON, D.C., JUN 27 – Senate parliamentarian Elizabeth MacDonough struck down multiple GOP provisions citing Byrd Rule violations, risking up to $4.5 trillion in deficit increases and complicating bill passage, experts say.

  • On Thursday, Senate Parliamentarian Elizabeth MacDonough informed Senate Republicans that certain proposed Medicaid modifications in their legislation, which also includes tax cuts and immigration provisions, violated parliamentary rules.
  • This advice followed a history of MacDonough limiting provisions in major bills, which fueled frustration and calls from GOP members like Sen. Tommy Tuberville for her dismissal.
  • Elizabeth MacDonough, who became the Senate’s first female parliamentarian when appointed under the leadership of then-Senate Majority Leader Harry Reid, is widely recognized across party lines as a fair and trustworthy enforcer of Senate rules.
  • Senate Majority Leader John Thune said overruling her advice would not be a 'good option' for passing the bill, while Sen. Kevin Cramer emphasized maintaining 'institutional integrity' despite disagreements.
  • MacDonough’s rulings forced Senate Republicans to revise their bill, highlighting challenges in advancing legislation compliant with procedural rules amid warnings of retaliation if her role is undermined.
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The Indiana Gazette Online broke the news in Indiana, United States on Friday, June 27, 2025.
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