Senate Republicans have unveiled a sweeping plan to overhaul the Medicaid program, with changes policy analysts warn could lead to even greater coverage losses and pain for hospital systems than the aggressive proposal passed by the House of Representatives last month.

The Senate Finance Committee is revising the proposed Medicaid cuts in the GOP’s “big beautiful bill” — a move sure to spur vehement opposition from hospitals.

The proposal would salvage some clean-energy tax credits and phase out others more slowly, making up some of the cost by imposing deeper cuts to Medicaid than the House-passed bill would.