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

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.

Donald Trump’s $3.3 trillion tax and spending cut bill passed the Senate Tuesday after a furious push by Republican leaders to persuade holdouts to back the legislation and hand the president a political win.