His private comments to Senate Republicans suggest the benefits for taxpayers in high-tax places could be pared back from the House-passed legislation.

Even by the standards of President Donald Trump and billionaire Elon Musk's relationship, it's been an unusual week.

President Trump declared Medicare off-limits several months ago, but Republicans are now considering ways to reduce spending in the program to help pay for tax cuts. The One Big Beautiful Bill that the House passed mostly avoids the Medicare program,