After a 26-and-a-half-hour markup, Republicans on Wednesday advanced the health care section of the GOP’s sweeping tax bill that would slash Medicaid spending by hundreds of billions of dollars.

Republican infighting over Medicaid work requirements and raising the state and local taxes cap is threatening to derail the “one big beautiful” reconciliation bill. There are currently enough Republican detractors to sink the bill’s markup in the Budget Committee on Friday.

Republican leaders intend to accelerate new work requirements under Medicaid as they scramble to secure the support of GOP holdouts for President Trump’s “big, beautiful bill.” House

The U.S. Congress should enact steeper work requirements for Medicaid and food aid in a tax cut and spending plan being advanced by Republicans, four senior Trump administration officials said in a New York Times opinion column.