Senate Republicans are taking a bigger swing at Medicaid in their version of legislation to fund President Trump’s domestic policy agenda and extend his first-term tax cuts.

According to text released by the Senate Finance Committee late Monday, the legislation seeks to clamp down on two tactics states use to boost Medicaid funding to providers: state-directed payments and Medicaid provider taxes.

The legislation would effectively cap provider taxes at 3.5 percent by 2031, down from the current 6 percent, but only for the states that expanded Medicaid under the Affordable Care Act. The cap would be phased in by lowering it 0.5 percent annually,........

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