Senate Majority Leader John Thune (R-SD) walks toward the Senate floor after the Senate stayed in session throughout the night at the U.S. Capitol Building on July 1, 2025 in Washington, DC. The Senate approved President Donald Trump’s signature policy bill Tuesday afternoon after a record-breaking 25 hours of negotiations to win over some final Republican holdouts. Key Facts The Senate passed the legislation 51-50, with Vice President JD Vance casting the tie-breaking vote. Three Republicans—Sens. Susan Collins, Maine, Rand Paul, Ky., and Thom Tillis, N.C..—voted against the bill. The 887-page “megabill” includes numerous changes to both the House-passed version of the legislation and the initial Senate draft. These are some of the key omissions and additions the Senate negotiated over the weekend and into Tuesday: Cuts to Medicaid cost-sharing :The amendment proposed by Sen. Rick Scott, R-Fla., would have blocked a significant portion of federal Medicaid funding for some ...
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