Senate Republicans narrowly passed President Trump’s $4.5 trillion bill with a tie-breaking vote from Vice President JD Vance. It extends tax cuts and cuts Medicaid, while adding nearly $3.3 trillion to the deficit.

President Donald Trump's amended bill was narrowly passed by the Senate, with Vice President JD Vance's vote breaking the 50-50 tie.

After a late shift by Senator Lisa Murkowski to yes, the legislation now returns to the House, where its passage remains far from certain.