Sen. Thom Tillis said that changes to Medicare are on the table to root out waste, fraud, and abuse as the Senate takes up President Donald Trump’s “big, beautiful bill,” The Hill reported Thursday.

The North Carolina Republican said simply overhauling the “plumbing” at the Centers for Medicare and Medicaid (CMS) could render substantial savings in Medicare without impacting benefits, a no-no for Trump, according to the report.

Tillis, a member of the Senate Finance Committee, made the remarks one day after panel members met with Trump at the White House.

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