WASHINGTON — Just after midnight, Alaska Sen. Lisa Murkowski was pacing in a Senate hallway, alone and looking concerned. It had suddenly become clear to all her Republican colleagues that her vote would be their best chance of passing President Donald Trump’s sweeping bill of tax and spending cuts. Had she decided whether she would support the bill? “No,” Murkowski said, shaking her head and putting her hand up to signal that she didn’t want to answer any questions.
Around 12 hours later, after she had convinced Senate leaders to change the bill to benefit her state and voted for the legislation, ensuring its passage, Murkowski said the last day had been “probably the most difficult and agonizing legislative 24-hour period that I have encountered.”
“And you all know,” she told reporters after the vote at midday Tuesday, “I’ve got a few battle scars underneath me.”
This isn’t Murkowski’s first tough vote
Murkowski has been in the Senate for nearly 23 years, and she has taken a lot of tough votes as a moderate Republican who often breaks with her party. So she knew what she was doing when she managed to leverage the pressure campaign against her into several new programs that benefit her very rural state, including special carveouts for Medicaid and food assistance.
“Lisa can withstand pressure,” said Maine Sen. Susan Collins, a fellow Republican moderate and longtime friend. Collins said she spoke to Murkowski on Monday when she was still undecided, and “I know it was a difficult decision for her, and I also know how much thought she put into it.”
Texas Sen. John Cornyn, R-Texas, who has also served with Murkowski for two decades, was more blunt: “She knows how to use her leverage,” he said.
The 887-page bill narrowly passed by the Senate on Tuesday — and now headed back to the House for possible passage — mentions California three times, Texas twice and New York not at all. But Alaska is in the bill 19 times, from new oil and gas lease sales in the state to tax breaks for Alaska fisheries and whalers to tribal exemptions for work requirements.
Even with all the provisions for Alaska, Murkowski was deeply torn up until the hours just before the vote, when the entire Senate was focused on what she would do — and as Republicans were pressuring her to support the bill and move the party one step closer to giving Trump a win.
She had always supported the bill’s tax cuts and extensions, but she had serious concerns about the repercussions of cutting Medicaid in her state and around the country.
She got much of what she wanted
Murkowski eventually decided to support the legislation in the hours after the Senate parliamentarian approved language to allow several states with the worst error rates in the food stamp program — including Alaska — to put off having to pay a greater portion of the cost of federal benefits, and after Republicans added a $50 billion fund proposed by Collins to help rural hospitals that might otherwise be hurt by Medicaid cuts.
Even with the fund included, Collins was one of three Republicans who voted no on the bill, arguing that the cuts to Medicaid and food stamps would hit her small rural state especially hard. But she said she understands why Murkowski would support it and negotiate special treatment for her state. “The fact is, Alaska is unique from every other state,” Collins said.
Nearly one-third of Alaska’s total population is covered by Medicaid, and the state has long struggled with high health care costs and limited health services in many communities. Most Alaska communities are not connected to the state’s main road system, meaning that many residents, particularly those in small, remote villages, need to fly to a larger city for certain kinds of care. Food security is also a longstanding concern, as the remote nature of many communities means food often is barged or flown in, and options can be limited and expensive.
“I had to look on balance, because the people in my state are the ones that I put first,” Murkowski said immediately after the vote. “We do not have a perfect bill by any stretch of the imagination.”
