Republican infighting defined a caustic debate that saw significant opposition to Medicaid cuts, which could define the 2026 midterm elections

The revised package now heads back to the House, where Republican leaders are hoping to approve it and send it to Trump before a self-imposed July 4 deadline. But it faces hurdles.

Republicans in the United States Senate hauled President Donald Trump’s big tax breaks and spending cuts bill to passage on Tuesday with the narrowest of margins, pushing past opposition from Democrats and their own GOP ranks after a turbulent overnight session.