The passage of the bill would go against Trump's repeated promises to keep Medicaid intact. Health policy experts and health care workers say sharp Medicaid cuts could result in vulnerable Americans no longer being able to receive care, either by losing coverage or by closing the centers that provide such care.

Extends and expands the 2017 Trump tax cuts, making most provisions permanent, including lower rates for individuals and businesses. $4.5 trillion in total tax reductions over a d

The Senate narrowly approved President Donald Trump's signature second-term policy bill, a nearly 900-page package packed with tax cuts and other campaign promises, in a major legislative victory for the president that came after a tense debate within his party that stretched on for nearly four days.

The 51-50 vote on tax and Medicaid cuts sends the measure back to the House ahead of President Trump’s July 4 deadline.