@facethenation: Sen. Thom Tillis (R-NC) says Republicans are “going to have significant headwinds” because of the Medicaid cuts in the government spending bill that passed Congress, and “it’s really a 10-year impact if you take a look at the original bill,” he adds. “I believe it's going to be very, very challenging,” he says. “We've got our work cut out for us because some of those impacts could also feed right into the 2028 election.”