WASHINGTON (AP) — The Senate has set an ambitious timeline for passing President Donald Trump’s sweeping legislation to cut taxes and spending. But getting it on the Republican president’s desk by July 4 will require some big decisions, and soon.

Republicans have faced pushback for their plans to pay for Trump’s tax cuts by reducing federal Medicaid funding and by making changes to Affordable Care Act marketplaces. States don’t like losing funding, hospitals don’t like losing business, and voters don’t like losing their insurance or paying more for it.

Lawmakers have taken differing stances on Medicaid cuts, green tax credits and business deductions.