Republicans must overcome intraparty divides to get legislation to Trump’s desk by July 4 target.

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.

A new study examines the potentially fatal impacts of Medicaid cuts in the new Republican-backed spending bill.