Senate Republicans are taking Medicaid cuts even further than their House counterparts with legislation that targets hospital payments.

The Senate’s deep cuts to Medicaid in the tax and spending megabill are setting off alarm bells among some Republicans, complicating leadership’s effort to get the legislation passed by July 4. It seeks to clamp down on two tactics states use to boost Medicaid funding to hospitals: state-directed payments and Medicaid provider taxes.

Senate Republicans have released their version of the tax legislation. It included some significant changes from the House version of the tax bill.

U.S. Senate Republicans have unveiled their version of President Donald Trump's sweeping tax-cut and spending bill that is broadly similar to the legislation that narrowly passed the House of Representatives last month.

Both versions of the bill include provisions that allow non-itemizing tax payers to deduct charitable contributions.