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 so-called "One, Big Beautiful Bill" passed on July 1 on a 51-50 vote after three Republicans defected, requiring Vice President JD Vance to break the tie in a dramatic flourish and send the bill back to the House for final approval but where the outcome remains uncertain.