The Senate bill’s Medicaid cuts are too aggressive for politically vulnerable Republicans.Its clean energy funding cuts are too tame for conservative House Republicans, who are threatening to sink the legislation.

WASHINGTON — Senate Republicans are considering adding a provision to President Trump’s tax cut bill that would further cut Medicaid, alarming hospitals and potentially squeezing state budgets even further.

Senate Republicans are taking Medicaid cuts even further than their House counterparts with legislation that targets hospital payments.