Senate Republicans are proposing more expansive reforms to Medicaid in President Donald Trump’s “one big, beautiful” bill, defying naysayers who

WASHINGTON—Senate Republicans’ plan to extract more savings from Medicaid as part of their revised tax and spending package triggered a backlash within the party, raising concerns that leaders could miss their self-imposed deadline of getting the bill to President Trump’s desk by July 4.

Republicans are seeking to limit a tax loophole that gives states more federal matching funds. Many state budgets could be hurt.