President Donald Trump’s sprawling domestic policy agenda narrowly passed the Republican-led Senate Tuesday after Vice President JD Vance cast the tiebreaking vote, capping off weeks of intense negotiations in the upper chamber to muscle through the One Big Beautiful Bill Act.

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

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