Senate Republicans on Monday proposed steeper Medicaid cuts than those included in the House-passed version of President Donald Trump’s signature policy bill—making the bill’s passage by the July 4 deadline set by Congressional Republicans even more uncertain as Medicaid cuts have been a major sticking point for some in the GOP.

The Senate would spare skilled nursing facilities from limits on state-level provider taxes that would hit other sectors hard under a massive new spending plan revealed late Monday.

Republican Sen. Josh Hawley has been clear about his red line as the Senate takes up the One Big Beautiful Bill Act: no Medicaid cuts. But what, exactly, would be a cut?