GOP centrists, feeling sidelined by hardliners, are poised to assert influence in shaping President Trump’s policy package, emphasizing the protection of Medicaid and other priorities. Rep. Mike Lawler and others stress their refusal to support leadership-driven initiatives that do not align with their interests, highlighting the need for compromise. Concerns over Medicaid cuts are particularly prominent, with lawmakers like Rep. Jeff Van Drew vocalizing opposition to measures that would reduce benefits for eligible recipients. The upcoming policy negotiations will also tackle issues such as state and local tax deductions, with GOP centrists from high-tax states demanding significant changes. Despite internal party divisions, Speaker Mike Johnson and his team are pushing for a swift vote, though the Senate's slower pace fuels anxiety among centrists wary of passing controversial legislation that may not proceed in the Senate.

GOP centrists, tired of hardliner dominance, are preparing to influence the drafting of Trump's policy package, particularly focusing on Medicaid preservation, federal nutritional programs, and clean energy initiatives.

Rep. Mike Lawler and fellow centrist Republicans emphasize their critical role in the GOP majority and refuse to back leadership proposals that don't reflect their constituents' needs, urging for compromise in the legislative process.

Medicaid cuts are a major concern, with Rep. Jeff Van Drew and others opposing any reduction in benefits for eligible recipients, stressing the political and policy risks of such actions in light of the 2026 midterms.

The GOP's internal debate on Medicaid savings strategies includes potential work requirements and reapplication rules for recipients, yet concerns persist regarding potential disruptions to beneficiaries.

Centrists, particularly from high-tax states, are demanding changes to the state and local tax (SALT) deduction, a contentious topic within the conservative House Freedom Caucus, as part of the broader tax reform discussions.

Speaker Mike Johnson is under pressure to pass Trump's agenda quickly, targeting a House vote by May 19, though the Senate's slower pace and internal GOP divisions complicate the legislative timeline.

The upcoming month will see intense committee activities to finalize policies on tax cuts, border and military funding, and spending cuts, with GOP leaders keeping specific details under wraps as negotiations continue.