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Adam
I'm Adam and I just finished my 84th and last 24 hour call shift as a pediatric resident.
Mara Liasson
Congratulations.
Adam
You're listening to the NPR Politics Podcast.
Deepa Shivaram
This podcast was recorded at 1:06pm on Tuesday, July 1, 2025.
Adam
Things may have changed by the time you hear this, but I'll be enjoying my chief residency year and never, ever, ever sleeping in a hospital call room again. Enjoy the show.
Deepa Shivaram
Do you enjoy your chief residency year, though? I guess it depends on your residency.
Deirdre Walsh
Well, congrats. That's a milestone.
Deepa Shivaram
That is really exciting. Very well done. Hey there. It's the NPR Politics Podcast. I'm Deepa Shivaram. I cover the White House.
Deirdre Walsh
I'm Deirdre Walsh. I cover Congress.
Mara Liasson
And I'm Mara Liasson, senior national political correspondent.
Deepa Shivaram
And today on the show, the Senate has passed President Trump's tax cuts and spending bill. Now, the details of this bill are still being sorted out. But, Deirdre, I want to start with you because the Senate narrowly approved this bill this afternoon after being in session all night, which means you were up pretty much all night. Vice President J.D. vance cast that tiebreaking 51st vote to get it passed. So start us off with this. What is in this bill?
Deirdre Walsh
Yeah, it's been a busy few days here at the Capitol. A lot of tired senators. So this bill really represents President Trump's, you know, domestic agenda. At its heart, it's a tax bill. The bill renews the 2017 tax cuts that were passed in President Trump's first term, makes them permanent. It adds some temporary new tax breaks that he campaigned on in 2024. No tax on tips, no tax on overtime. It also includes more money for border enforcement, for the military. But to pay for those tax cuts, the bill has a lot of spending cuts to offset some of the costs of the tax cuts. It rolls back some green energy tax cuts that were passed during President Biden's presidency. It makes changes to nutrition programs, makes cuts in those. But the biggest chunk of spending cuts, almost a trillion dollars worth, come from cuts to the Medicaid program. That is essentially the joint federal state partnership that provides health care coverage for low income elderly dis. And the changes to that program include adding new work requirements for people enrolled in the program so they can qualify to get coverage, changing the way states pay for their Medicaid programs. And that sort of comes into play in terms of how much federal money they will get, meaning a lot of the costs for this are going to end up being shifted to the states. So this was just a massive package, a big victory for President Trump and for Senate Republicans, because this was a squeaker, as you noted, the vice President had to come up to the Hill to break the tide to even get on the bill and then to pass the bill.
Mara Liasson
And this was one of those life or death kind of bills where President Trump's entire legislative agenda is kind of packed into this one vehicle.
Deepa Shivaram
A lot of it, yeah. And as you mentioned, Deirdre, the debate over this bill wasn't exactly straightforward. What were some of the controversial parts of this bill that made this process so drawn out?
Deirdre Walsh
I mean, the bill touched, you know, sort of all parts of the domestic agenda. I mean, and senators really tried to get in all kinds of issues and that tested the process, because the process they used to pass the bill called reconciliation, really limits the kinds of things that can be in the package. For example, Ted Cruz wanted to pass a moratorium on all states passing any regulations for AI for a decade. That was also part of the House passed version of this bill that ended up getting voted out, actually by a vote of 99 to 1. But far and away the most controversial issue was the debate and the split inside the Republican Party about Medicaid. We saw that split in the House, we saw it again in the Senate. It ended up coming down to changes to Medicaid to get Alaska Senator Lisa Murkowski, who ended up being the deciding vote on this issue. To get her to yes, they made additional tweaks.
Deepa Shivaram
Okay, so speaking of Murkowski, I mean, she was pretty against this bill at first, and they made some of these tweaks. But, you know, what was the thing that sort of tipped her over that changed her mind?
Deirdre Walsh
Well, we're still reading the details of the bill because they were literally handwriting the changes up until the final hours of the votes today. One thing that they did add was this rural fund for hospitals. This is something that Maine Republican Susan Collins, who ended up being one of the no votes, was pushing. This was money to help rural hospitals offset the shift in costs to the states that these cuts are going to have a lot of. Senate Republicans, Senate Republicans who voted yes on this bill, too, warned that these Medicaid changes would mean that rural hospitals in their states would close. And that would impact not only people on Medicaid but anyone who needed any kind of medical treatment, who wanted to get to a rural hospital, in some cases worried that they would just go out of business. That's one big tweak that we know that Lisa Murkowski got.
Deepa Shivaram
And Mara, I want to bring you in here because, you know, Lisa Murkowski tipped in favor of this bill, but there were three Republicans who voted with Democrats on this, including North Carolina's Thom Tillet. He announced this weekend that he would not support the bill, but in addition to that, he would also leave Congress altogether when his term is up in 2027. What does that say about, you know, if you're going to be a Republican who opposes Donald Trump, do you still have a job in Congress?
Mara Liasson
No, you really don't. I think Republicans oppose Donald Trump at their political peril. He said the other day in a post that he considered a vote against this bill to be a betrayal. Very, very personal. And I don't think we've ever seen a modern president with as firm a grip on his party as Donald Trump has on the Republicans. There is only one Republican senator up for reelection next year, Susan Collins, who voted no on this bill. The other Republican who voted no was Senator Rand Paul of Kentucky. He has a very, very distinct personal brand. He didn't like a lot of things in this bill, including the fact that it adds to the deficit by trillions of dollars. There are a lot of Republicans who are worried about what happens to this bill when it becomes a political issue. Right now it's a test of your loyalty to Trump. But then if it passes the House, which we assume it will, they're going to have to sell it to voters. And the issue of Medicaid is huge for Republicans because Trump made a lot of gains with blue collar voters. Many people who voted for him are now on Medicaid or know someone who is. And of course, we know that Medicaid has expanded exponentially because of Obamacare. So a lot of people who voted for Trump are going to see their health care potentially disappear.
Deirdre Walsh
And Mara, it was pretty clear that Tillis was warning about the fallout for those Medicaid cuts. He gave really scathing speeches on the Senate floor in the run up to this vote. In terms of the numbers of people that would be thrown off Medicaid. He warned and basically told President Trump he was making a big mistake. And the Congressional Budget Office, which is the nonpartisan scorekeeper on this, estimates that nearly 12 million people could lose their coverage because of this bill.
Mara Liasson
All the independent analysts who've looked at this bill have come to pretty much the same conclusion, which is this is a bill that skews to the wealthy, gives tax cuts to billionaires, and is paid for by cuts to lower income people. Now in the past, that formula has been very unpopular. I think the White House's calculation is that even if the economic benefits go to the rich and that there are all sorts of things that Trump is doing culturally, whether it's about immigration or trans people or lgbtq, that that are going to keep his working class blue collar MAGA base satisfied.
Deepa Shivaram
All right. We're going to take a quick break and we'll be back in a moment.
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Deepa Shivaram
Mara, this bill makes a lot of changes to to programs that Americans like. Things like Medicaid, for instance. You know, we were talking about some of the process here of Republicans having to sell this. Now if it passes to voters, what are some of the political risks of making changes like cuts to Medicaid?
Mara Liasson
Well, you know, Donald Trump has said he would never cut Medicaid and there's going to be a big debate about whether there are actual cuts or not. And he says all the cuts are just waste, fraud and abuse. But some people might find themselves without coverage and there are a lot of people who are now on Medicaid that voted for Donald Trump. So it's politically perilous for Republicans. This was Thom Tillis's message to Republicans and to President Trump. Rural hospitals will close. And then the big political question becomes, does this make voters, especially voters who were with the Republicans last time, will they change their minds? Will they stay home or will they vote against Republican candidates? We just don't know that.
Deepa Shivaram
Yeah. And the other thing that we were talking about earlier is, you know, this. This hold that Trump has on the Republican Party. Right. If you cross Trump, you might not have a job in Congress anymore. But if Trump himself doesn't have to face reelection, you know, does he care here what happens to his fellow elected Republicans if, you know, they're voting for these policies that, as we've said, Americans don't really support?
Mara Liasson
Well, he cares when people cross him. You saw how he went after House Republicans who he calls grandstanders. He's threatened primary challeng. So he does take things personally, whether he feels he has as big a stake as another president might if he wasn't a lame duck. You know, he doesn't really have a big legislative agenda in the wings. This is it.
Deirdre Walsh
Yeah. This is really his legacy bill. Right. I mean, the other thing that Republicans are going to be selling is the tax cut piece of this, but I think it's going to be an interesting question to see how that plays politically, because I think a lot of voters probably don't remember what their tax rates were pre2017, but what they'll see come out of this bill may be changes to their healthcare policies and how that will impact their pocketbooks. So it's gonna be a huge messaging war. And no doubt Democrats at least are gonna try to make this, at least the Medicaid piece of this bill, the central issue in the 2026 midterms.
Deepa Shivaram
Yeah, absolutely.
Mara Liasson
And, you know, Deirdre makes a really important point here. This is not new tax cuts for people. This is of existing tax cuts. So the Republicans are saying, if we didn't pass this bill, your taxes would have gone up. I mean, that's kind of a complicated message. It's not like people are going to see anything different in their paycheck. So that's a much harder message to deliver.
Deepa Shivaram
Deirdre, there's still a major hurdle in getting this bill passed, which is that it has to go through the House of Representatives. Republicans there have a very narrow majority there, too, and some members have already said that they won't back this bill after the Senate made some of these changes. So where do you see this going next?
Deirdre Walsh
I mean, some of these are the same House Republicans who warned they would vote no on the House version of this bill, too. Right. I think a lot of House Republicans sort of make these big proclamations of like, I'm going to vote no or I'm going to block this bill. But in the end, I think they saw what happened to Tom Tillis and the political pressure on House Republicans to get this done quickly is immense. The president already today basically said, I don't see it being a problem. Oh, it'll be easier and House than it was in the Senate. I don't necessarily think House Speaker Mike Johnson thinks that's the case. He's also working with a skinny majority. He can only afford to lose three. We already know Tom Massie from Kentucky, who voted no on the House version of this is a solid no. And there are groups of other House Republicans, conservatives who are unhappy that the Senate bill costs more, moderates who are unhappy that the Medicaid cuts are deeper in the Senate version that are going to have to make this sort of political calculus. How do I vote? Do I want to be standing in the way of the president's agenda? My guess is that it'll squeak through the House, but no doubt there'll be a little drama at the last minute.
Deepa Shivaram
Well, definitely drama because the president was posting on Truth Social earlier and saying that anyone he endorses will beat Thomas Massie in Kentucky by 25 points. So along the lines of Thom Tillis already a campaign against anyone who stands in the president's way. This bill has set off, you know, the on again, off again spat, if you will, between President Trump and Elon Musk, who was formerly a member of, you know, the president's administration and an advisor in the inner circle. In the inner circle. Right. Musk had spoken out against this bill. He was mad about the increase to the deficit that this bill would cause. That sort of has simmered down a little bit. But what do you, what do you make of where that landed?
Mara Liasson
No, well, he's still at it. He said the bill gives handouts to industries of the past while damaging the industries of the future. We assume he considers his own companies industries of the future. He said the bill would be political suicide for the Republican Party. So he's still against this. And I think his clout, of course, has diminished. But there is a lot of overlap between people who really like Elon Musk and people who voted for Donald Trump.
Deirdre Walsh
I mean, if he opens his wallet in the 2026 midterms, he could have a pretty big impact, right?
Deepa Shivaram
Especially for some of these folks who are in a controversial position. Yeah, absolutely. All right. We're going to leave it there for today. I'm Deepa Shivaram. I cover the White House.
Deirdre Walsh
I'm Deirdre Walsh. I cover Congress.
Mara Liasson
And I'm Mara Liasson, senior national political correspondent.
Deepa Shivaram
And thank you for listening to the NPR Politics podcast.
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Summary of NPR Politics Podcast Episode: "Senate Passes Trump Tax Cut, Spending Bill"
Release Date: July 1, 2025
The latest episode of The NPR Politics Podcast, hosted by Deepa Shivaram, Deirdre Walsh, and Mara Liasson, delves into the Senate's recent passage of President Donald Trump's tax cuts and spending bill. This comprehensive legislation marks a significant milestone for Trump's domestic agenda, encapsulating a broad spectrum of policy changes that have profound implications for various sectors and voters across the United States.
The Senate narrowly approved the bill after an overnight session, with Vice President J.D. Vance casting the decisive 51st vote.
The tense atmosphere underscored the bill's contentious nature, requiring last-minute interventions to secure its passage.
The legislation primarily focuses on revitalizing and cementing the tax reforms initiated in 2017, alongside introducing new tax incentives and reallocating federal spending.
In addition to tax modifications, the bill allocates increased funding for border enforcement and the military, aiming to address national security and immigration concerns.
One of the most debated aspects of the bill involves extensive spending cuts, particularly targeting the Medicaid program.
These cuts are projected to reduce Medicaid funding by nearly a trillion dollars, affecting millions of low-income Americans and altering the federal-state healthcare partnership.
The passage of the bill exposed significant rifts within the Republican Party, especially concerning healthcare reforms.
Senator Murkowski's support hinged on the inclusion of a rural fund for hospitals, addressing concerns about the viability of rural healthcare facilities amidst Medicaid reductions.
The bill's passage poses substantial political risks for the GOP, particularly as it navigates the fallout from Medicaid cuts.
The potential loss of Medicaid coverage for approximately 12 million people, as estimated by the Congressional Budget Office, could alienate key voter demographics.
Passing the bill in the House of Representatives remains uncertain due to the narrow Republican majority and internal dissent.
House Speaker Mike Johnson faces the challenge of securing enough votes, with some Republicans already signaling opposition based on the Senate's amendments.
High-profile figures like Elon Musk have voiced opposition to the bill, citing concerns over deficit increases and misaligned industry support.
Musk's stance reflects broader apprehensions about the bill's economic impact and its long-term viability.
The Senate's approval of President Trump's tax cuts and spending bill represents a pivotal moment in contemporary American politics. While it solidifies key aspects of Trump's legislative vision, the bill's extensive Medicaid cuts and their implications pose significant challenges for the Republican Party's cohesion and electoral prospects. As the legislation moves to the House, the GOP must navigate internal divisions and external pressures to ensure its passage, all while managing the potential backlash from voters affected by the proposed healthcare reforms.
Notable Quotes:
This summary provides an in-depth overview of the NPR Politics Podcast episode, capturing the essential discussions and insights surrounding the Senate's passage of President Trump's tax cuts and spending bill.