Overview

• GOP can afford no more than three defections in its 220-212 majority, with holdouts such as Reps. Thomas Massie and Ralph Norman opposing the Senate’s deeper Medicaid cuts and higher deficits
• Speaker Mike Johnson delayed procedural votes for hours Wednesday and convened closed-door huddles as the rules vote to open debate remained in doubt
• The Senate version locks in Trump’s 2017 tax cuts, adds new breaks on tips, overtime and seniors’ deductions and offsets costs with stringent Medicaid and SNAP work requirements
• Congressional Budget Office projections show the measure would add about $3.3 trillion to the deficit over a decade and could strip health coverage from nearly 11.8 million people
• If the House passes the bill as-is, it goes directly to President Trump’s desk but any amendments would prompt further Senate-House negotiations and jeopardize the Fourth of July target