Senator Susan Collins of Maine cited proposed Medicaid cuts as her primary reason for voting against President Donald Trump’s sweeping tax and spending bill, which passed the Senate by a narrow margin after more than 24 hours of negotiations.
In a statement posted on X, Collins said, “My vote against this bill stems primarily from the harmful impact it will have on Medicaid, affecting low-income families and rural health care providers like our hospitals and nursing homes.”
I strongly support extending the tax relief for families and small businesses. My vote against this bill stems primarily from the harmful impact it will have on Medicaid, affecting low-income families and rural health care providers like our hospitals and nursing homes.
— Sen. Susan Collins (@SenatorCollins) July 1, 2025
While she supported previous tax relief measures and praised a new rural hospital assistance fund she had proposed, Collins said it was “not sufficient to offset the other changes in the Medicaid system.”
She also criticized the bill for failing to phase out energy tax credits in a responsible way and for removing incentives that benefit Mainers who install heat pumps and solar panels.
Vice President JD Vance broke the 50–50 Senate tie. Three Republicans voted no.
