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Senate Passes Trump's 'Big Beautiful Bill' Amid GOP Divisions and New Health Care Concerns

The Senate approved the 'Big Beautiful Bill' with a 51-50 vote, raising concerns over health care and fiscal responsibility as the House prepares for a vote.

Overview

A summary of the key points of this story verified across multiple sources.

  • The Senate passed the 'Big Beautiful Bill' with a 51-50 vote, aided by Vice President JD Vance's tie-breaking vote after extensive debate.
  • The Congressional Budget Office warns the bill could leave 11.8 million Americans uninsured by 2034 and reduce food stamp eligibility for 3 million.
  • Key provisions include extending tax cuts, increasing border security funding, and imposing new Medicaid work requirements for able-bodied adults.
  • Republican divisions emerged, with three senators opposing the bill, highlighting concerns over its impact on social services and fiscal responsibility.
  • The House is set to vote on the Senate version amid GOP skepticism, with Trump urging swift approval before the July 4 deadline.

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Analysis

Compare how each side frames the story — including which facts they emphasize or leave out.

Center-leaning sources frame the tax and spending bill as a significant Republican achievement, emphasizing its scale and potential impact. They highlight both benefits and drawbacks, suggesting a complex narrative where tax cuts favor wealthier households while imposing burdens on lower-income groups. The tone reflects cautious optimism mixed with critical analysis.

President Trump's tax cut, spending, and policy bill is facing delays and uncertainty in the Senate as Republican leaders work to secure support before a final vote.

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A new analysis from the Congressional Budget Office projects that 11.8 million more Americans would lose their health insurance by 2034 if the bill becomes law.

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The legislation includes $4.5 trillion in tax cuts and $1.2 trillion in cuts to Medicaid and food stamps.

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The US Senate approved President Donald Trump's tax-cut and spending bill after nearly 24 hours of debate.

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The bill is facing opposition from progressive leaders, some Republicans, and Democrats, while Republican leaders are seeking support for it.

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Senate Majority Leader John Thune lost three Republican votes in a narrow vote, ultimately resulting in a tie broken by Vice President JD Vance.

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Sen. Thom Tillis of North Carolina has faced Trump's criticism and publicly criticized Trump's megabill on the Senate floor.

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Sen. Susan Collins, R-Maine, has occasionally opposed President Trump, particularly in relation to Medicaid funding in Maine.

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Elon Musk criticized the bill for its projected $3.3 trillion increase in the national debt over the next decade.

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Trump set a deadline of July 4th for the Republican-controlled Congress to send him a final version of the bill to sign into law.

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Republicans plan to cut spending in various programs, such as healthcare for lower-income Americans and food subsidies, to offset the anticipated revenue loss.

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Musk is actively working against Trump's legislation and Trump threatened to have him deported to South Africa.

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US Senators have been engaged in over 24 hours of negotiations and debate on amendments to a stalled mega-bill on tax and spending.

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The Senate passing Trump's mega bill requires reconciliation in the House.

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Trump celebrated the passage of the bill as a major policy win for the American people, claiming it has something for everyone.

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The Senate's proposed legislation to cut Medicaid could potentially alienate both moderates and conservatives, as well as lose support from senators concerned about the extent of the cuts.

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3 articles
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The bill proposes funding through Medicaid and food stamp work requirements, while also cutting funding for clean energy tax credits, Medicaid, food stamps, student loans, and government spending on clean energy initiatives.

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The bill returns to the House, where Speaker Mike Johnson cautioned senators not to make significant changes to the approved legislation.

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The Senate endured a tense overnight "vote-a-rama" session that extended into Tuesday morning.

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Senate Majority Leader John Thune is working to reach last-minute agreements within his party on the bill's impact on Medicaid.

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House Speaker Mike Johnson warns of potential issues with the Senate package when it returns to the House for a final vote.

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Articles (57)

Compare how different news outlets are covering this story.

Center (20)

"…The legislation now heads back to the House, where Speaker Mike Johnson, R-La., will (again) aim to steer it through his narrow majority before it can go to Trump for his signature."

The Republicans who bucked Trump on his big bill: From the Politics Desk
NBC NewsNBC News·2h·
Center
This outlet is balanced or reflects centrist views.

"…Depending on whom you ask on Capitol Hill, the cost of the bill could be as little as $440 billion, while other, more conventional estimates put the cost at nearly 10 times higher."

Big Beautiful Bill 101: What you need to know about House and Senate versions
USA TODAYUSA TODAY·3h·
Center
This outlet is balanced or reflects centrist views.

"…The Congressional Budget Office projects that the bill would increase federal deficits over the next 10 years by nearly $3.3 trillion from 2025 to 2034."

What's in the latest version of Trump's big bill that passed the Senate
Associated PressAssociated Press·4h·
Center
This outlet is balanced or reflects centrist views.

"…Three long-serving GOP members, Susan Collins of Maine, Rand Paul of Kentucky and Thom Tillis of North Carolina voted against, forcing Vice President JD Vance to break a 50-50 tie."

Which Republican senators voted against Trump's agenda bill and why
ABC NewsABC News·5h·
Center
This outlet is balanced or reflects centrist views.

"…The GOP is now rushing into similarly perilous territory, Tillis implied, by cutting more than $1 trillion from Medicaid."

Trump's big tax bill is a win. It could also be a big problem for GOP
USA TODAYUSA TODAY·7h·
Center
This outlet is balanced or reflects centrist views.

"…President Donald Trump eked out a narrow win to achieve his most significant legislative victory since returning to the White House with the Senate giving a thumbs up July 1 to his sweeping megabill."

Trump asserts dominance with 'big, beautiful bill' Senate passage: 5 takeaways
USA TODAYUSA TODAY·7h·
Center
This outlet is balanced or reflects centrist views.

"…The legislation is the signature priority of President Donald Trump, extending the 2017 tax cuts, adding billions to border security and increasing defense spending."

Senate Passes Donald Trump’s “One, Beautiful Bill” After Marathon Session
DeadlineDeadline·8h·
Center
This outlet is balanced or reflects centrist views.

"…The bill, considered a cornerstone of Trump's second-term agenda, would make permanent large tax cuts that were temporarily put in place when he was first in office."

Senate Republicans narrowly pass Trump's 'big, beautiful' spending bill
BBC NewsBBC News·8h·
Center
This outlet is balanced or reflects centrist views.

"…The Republican-controlled Senate narrowly passed President Donald Trump’s sweeping domestic policy package Tuesday morning, bringing it one step closer to his desk."

Senate Republicans narrowly pass Trump megabill after marathon voting session
NBC NewsNBC News·8h·
Center
This outlet is balanced or reflects centrist views.

"…The Senate is slogging through a tense overnight session that has dragged into Tuesday, with Republican leaders searching for ways to secure support for President Donald Trump's big bill of tax breaks and spending cuts while fending off proposed amendments, mostly from Democrats trying to defeat the package."

Senate churns through overnight session as Republicans seek support for Trump’s big bill
ABC NewsABC News·12h·
Center
This outlet is balanced or reflects centrist views.

"…The outcome in Congress is expected to be either a defining legislative win for Trump or a major setback early in his second term."

Twenty-plus hours later: Senate 'close' to a vote on Trump's mega tax bill
USA TODAYUSA TODAY·13h·
Center
This outlet is balanced or reflects centrist views.

"…The Senate began voting on amendments to President Donald Trump’s massive tax cut and spending bill with the goal of passing it this evening or early tomorrow morning, even with the support of several key Republicans up in the air."

The Senate races toward a 'big, beautiful' finish line: From the Politics Desk
NBC NewsNBC News·1d·
Center
This outlet is balanced or reflects centrist views.

FAQ

Dig deeper on this story with frequently asked questions.

The key provisions of the 'One Big Beautiful Bill' include extending tax cuts, increasing funding for border security, and imposing new Medicaid work requirements for able-bodied adults.

The Congressional Budget Office warns that the bill could leave 11.8 million Americans uninsured by 2034 and reduce food stamp eligibility for 3 million. Critics also highlight that the bill includes the largest Medicaid cuts ever proposed by Congress, which could severely reduce access to care and harm the health care system.

The Senate passed the bill with a narrow 51-50 vote, with Vice President JD Vance casting the tie-breaking vote after three Republican senators opposed the bill.

Three Republican senators—Rand Paul, Thom Tillis, and Susan Collins—voted against the bill, expressing concerns about its impact on social services and fiscal responsibility. At the same time, late negotiations increased rural health care funding to secure additional support from some members.

After passing the Senate, the bill returns to the House of Representatives for consideration, where GOP skepticism remains and President Trump is urging swift approval before the July 4 deadline.

History

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