WASHINGTON—Senate Republicans’ plan to extract more savings from Medicaid as part of their revised tax and spending package triggered a backlash within the party, raising concerns that leaders could miss their self-imposed deadline of getting the bill to President Trump’s desk by July 4.

Senate Republicans say they are looking for ways to safeguard rural hospitals from proposed cuts to a key Medicaid funding method.

Without changes to the GOP's "big, beautiful bill," Sen. Josh Hawley fears "there’s going to be a lot of rural hospitals in Missouri that close."