The nonpartisan Senate official whose office determines if legislation fits within the rules of the chamber dealt Senate Republicans a blow on proposed changes to Medicaid.

Many Republican senators dismissed the idea of overruling the Senate parliamentarian after she rejected key Medicaid provisions in Trump's tax and immigration bill Thursday, which dealt a blow to Republicans' plan to slash costs in the budget package.

The Senate parliamentarian has advised that a Medicaid provider tax overhaul central to President Donald Trump’s tax cut and spending bill does not adhere to the chamber’s procedural rules,