Major sticking points unresolved as Johnson races to push Trump’s massive policy bill through House by Thursday

House Republican leaders are still trying to resolve major internal battles over President Donald Trump’s massive domestic policy bill even as Speaker Mike Johnson is engaged in last-ditch negotiations to win over GOP members’ conflicting demands before an expected floor vote later this week.

House Republican leaders are still trying to resolve major internal battles over President Donald Trump’s massive domestic policy bill even as Speaker Mike Johnson is engaged in last-ditch negotiations to win over GOP members’ conflicting demands before an expected floor vote later this week. Among the major issues that are still unresolved: The timeframe over when new Medicaid work requirements would kick in, whether to change the federal-state cost sharing program for Medicaid, when green energy tax credits would be phased out and how much Americans can deduct from the state and local taxes they pay. There are also big questions: How much the sweeping bill will add to the deficit and how many Americans would lose access to benefits like Medicaid and food stamps — since the non-partisan Congressional Budget Office has yet to release an official estimate on the bill’s impact to the debt and the economy. House GOP leadership aides said Monday morning that key decisions have not been finalized even though Johnson wants the bill passed out of his chamber by Thursday. “Everything is in plan all the way until the end,” said one leadership aide, noting the talks are “extremely difficult” given the narrowness of the majority and the diversity of the demands. But aides contended that “95%” of the bill had been agreed to among House Republicans. The bill calls for first-time work requirements for Medicaid beneficiaries to be implemented by 2029, but GOP hardliners are demanding that timeframe be moved up — something that is causing angst among more moderate members. Moreover, some of the hardliners want to pare back the amount of money the federal government pays into state-run Medicaid programs, a change that moderates have long resisted.