The reconciliation process lets Republicans push the bill through the Senate—where they have a 53-47 majority—on a simple majority vote. But the process comes with strings attached, and those limits are known as the Byrd Rule, for the late Sen. Robert Byrd (D., W.Va.).

A new proposal to help stabilize rural hospital access is floating around Capitol Hill as Senate Republicans consider their reconciliation bill.

The Senate has overhauled President Donald Trump’s One Big Beautiful Bill, sparking serious concerns over federal spending and social programs in the House.