Catie Edmondson

The ruling by the parliamentarian sent G.O.P. lawmakers back to the drawing board to cover the costs of President Trump’s domestic policy bill.

The proposal would salvage some clean-energy tax credits and phase out others more slowly, making up some of the cost by imposing deeper cuts to Medicaid than the House-passed bill would.

Experts said the move, which did not offer explicit guidance to hospitals, could discourage doctors from performing emergency abortions in states that ban or restrict them.

Some Republican senators are voicing concern over the House-passed bill that would rescind $9 billion that Congress already approved, including money for NPR and PBS stations in their states.

The legislation, requested by the White House, would codify spending cuts pursued by Elon Musk’s Department of Government Efficiency.

Republicans whose constituents rely on nutritional assistance worry that cuts to those programs approved by the House will saddle their states with huge costs and harm low-income children.

The president is pressing Republicans in the Senate to unite quickly behind sprawling legislation that carries his domestic agenda, but the measure’s opponents have a powerful new ally: Elon Musk.

Experts said the move, which did not offer explicit guidance to hospitals, could discourage doctors from performing emergency abortions in states that ban or restrict them.

The request seeks to codify spending cuts advanced by Elon Musk’s Department of Government Efficiency.

The Alaska Republican senator has no qualms about criticizing the president. She could play a make-or-break role in pushing back on the legislation carrying his agenda.