While efforts to sway initially reluctant GOP moderates and ultraconservatives to vote for the Republican reconciliation package resulted in a law with little wiggle room for change, some lawmakers are already working to find that room.
A few of the package’s health provisions took immediate effect, but implementation of the bulk of them begins between 2026 and 2028. Notable holdouts who had deemed changes to be essential in the shaping of the legislation are now seeking either to bring forward or push back those dates, depending on the provision.
Sen. Josh Hawley, R-Mo., introduced legislation Tuesday aimed at mitigating the law’s impact on rural health facilities, one of his key concerns before he ultimately voted in favor of President Donald Trump’s signature law.
