Senate Republicans restored major Medicaid cuts to Donald Trump’s signature economic legislation, re-fashioning a key provision to overcome a procedural obstacle.Spending cuts to the health insurance program for the poor and disabled partially offset revenue losses from tax cuts in the measure and are a crucial demand of GOP fiscal conservatives.

The Senate Republican tax bill speeding to passage includes the biggest reduction of funding for the federal safety net since at least the 1990s.

Thom Tillis (R-NC), likely Senate Republican’s most vulnerable member to a Democratic challenger in 2026, and Sen. Rand Paul (R-KY) voted against the motion. Vice President JD Vance was on hand to brake a tie,