The 'One, Big, beautiful bill', endorsed by President Donald Trump is a conservative budget bill has been passed by the House of representatives. However, Elizabeth MacDonough, an American lawyer and Senate Parliamentarian,

Who is Senate parliamentarian Elizabeth Macdonough that ruled against Medicaid in Trump's 'big beautiful bill' Here's what to know about the Byrd rule

The Senate parliamentarian has ruled out major parts of the Senate GOP's changes to Medicaid policy in the "one big, beautiful bill" ahead of a planned weekend of make-or-break votes. Why it matters: Parliamentarian Elizabeth MacDonough's latest rulings complicate efforts to meet President Trump's July 4 deadline to have the mega tax and spending cut package on his desk.