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

The proposal would salvage some clean-energy tax credits and phase out others more slowly, making up some of the cost by imposing deeper cuts to Medicaid than the House-passed bill would.

The Senate version would also sharply limit provider taxes that states use to fund their Medicaid programs. Edwin Park, a research professor at Georgetown University’s Center for Children and Families, warned the provision would “devastate” state finances, particularly where lawmakers have expanded Medicaid under the Affordable Care Act (ACA).