Overview

• Vice President JD Vance broke a 50-50 deadlock after Senators Thom Tillis, Susan Collins and Rand Paul joined Democrats in opposing the 940-page package.
• Republicans employed the budget reconciliation process and an extended vote-a-rama to navigate Senate parliamentarian rulings and secure passage.
• The Senate’s amendments make permanent the 2017 tax cuts, exempt tips from taxation, raise the debt limit by $5 trillion and boost defense and border spending while trimming Medicaid and SNAP outlays.
• Moderate Republicans warned that stricter work requirements and provider caps could force rural hospitals to close and strip health coverage from vulnerable populations.
• A Congressional Budget Office analysis projects the measure would add nearly $3.3 trillion to the deficit over ten years and leave almost 12 million more Americans uninsured by 2034.