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Narrow win in Senate vote secures massive cut in Medicaid

President Trump Signs His "Big, Beautiful Bill" Into Law At The White House
President Donald Trump, joined by Republican lawmakers, signs the One, Big Beautiful Bill Act into law. Photo: Samuel Corum/Getty Images

Sweeping domestic policy bill has huge impact on healthcare.

In a dramatic 51-50 vote marked by partisan division and procedural brinkmanship, the US Senate passed President Trump’s sweeping domestic policy bill, featuring over $1 trillion in Medicaid cuts, surpassing even the $800 billion reduction approved by the House.

Vice President JD Vance broke the tie after three Republicans defected, citing