From USA TODAY.

President Donald Trump’s major tax, spending and policy legislative package suffered a blow on June 26 when the Senate’s parliamentarian ruled that several key Medicaid provisions designed to help cajole nervous Republicans into voting yes can’t be included in the bill.

The decision from the chamber’s leading rules expert deals with proposed Republican changes to Medicaid, the federal health insurance for lower-income families, which has been one of the main battlegrounds in debate over the legislation.

Trump and fellow Republicans, who aim to pass the bill without counting on any Democratic support, aim to reduce Medicaid spending by requiring work by able-bodied adults and denying access to non-citizens.