The Senate passed President Donald Trump’s signature tax-and-spending legislation on a party-line vote that marks the largest overhaul to the tax code since 2017.

The so-called "One, Big Beautiful Bill" passed on July 1 on a 51-50 vote after three Republicans defected, requiring Vice President JD Vance to break the tie in a dramatic flourish and send the bill back to the House for final approval but where the outcome remains uncertain.

One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.