Senate Republicans have unveiled a sweeping plan to overhaul the Medicaid program, with changes policy analysts warn could lead to even greater coverage losses and pain for hospital systems than the aggressive proposal passed by the House of Representatives last month.

The Senate Finance Committee is revising the proposed Medicaid cuts in the GOP’s “big beautiful bill” — a move sure to spur vehement opposition from hospitals.

Republican leaders are aiming for quick negotiations over needed changes to the newly unveiled Senate tax bill which lacks the votes to secure majorities in both chambers as written.The prospect of prolonged talks with holdouts in both the conservative and moderate wings of the party threaten Senate Majority Leader John Thune’s goal of passing President Donald Trump’s tax-cut legislation by July 4.

Proposed changes have reportedly angered some House Representatives, and differing views on the legislation could make passing Trump's bill difficult.