President Donald Trump signs an executive order in the Oval Office of the White House in Washington, DC, US, on Thursday, Jan. 30, 2025. ( Bonnie Cash/UPI/Bloomberg via Getty Images)
The measure also institutes Medicaid reforms, including new 80-hour-a-month work requirements for Medicaid recipients, and expands work requirements for those on the Supplemental Nutrition Assistance Program, or SNAP.
Republicans in the Senate were sent scrambling on June 26 to reform and pass the measure ahead of Trump’s July 4 deadline after Senate Parliamentarian Elizabeth MacDonough determined that several Medicaid reforms in the sweeping tax and domestic policy package did not follow Senate rules and must be removed.
Ultimately, the Senate barely passed the measure on Tuesday by a 51-50 margin. Republican Sens. Susan Collins of Maine, Thom Tillis of North Carolina, and Rand Paul of Kentucky all voted against the bill, requiring Vice President JD Vance to step in and cast the tie-breaking vote.
House Minority Leader Hakeem Jeffries, D-N.Y., speaks during a news conference at the Capitol, in Washington, Thursday, March 6, 2025. (AP Photo/J. Scott Applewhite)
Meanwhile, no Democrats in either chamber of Congress backed the measure. House Minority Leader Hakeem Jeffries, D-N.Y., labeled the bill "cruel" during floor remarks that lasted hours on Thursday, pointing to Medicaid and SNAP reforms that reports suggest would remove millions of beneficiaries from the programs.
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"What is contemplated in this one big, ugly bill is wrong. It’s dangerous, and it’s cruel, and cruelty should not be either the objective or the outcome of legislation that we consider here in the United States House of Representatives," Jeffries said.
Fox News Liz Elkind contributed to this report.
Diana Stancy is a politics reporter with Fox News Digital covering the White House.
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