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

Senate Republicans on Monday proposed steeper Medicaid cuts than those included in the House-passed version of President Donald Trump’s signature policy bill—making the bill’s passage by the July 4 deadline set by Congressional Republicans even more uncertain as Medicaid cuts have been a major sticking point for some in the GOP.

Senate Republicans are proposing deeper Medicaid cuts, including new work requirements for parents of teens, as a way to offset the costs of making President Donald Trump’s tax breaks more permanent.