No changes were made by the House to the Senate version of the bill, despite some grumbling from House Republican hardliners over the Senate changes to Medicaid and the deficit. Some of those holdouts say President Trump made promises to get their votes, including saying he'd make the bill "better" in the future.

It’s a major victory for Trump and Republican leadership in Congress, which captured a trifecta during the 2024 elections and has used that political muscle to force what they've dubbed their "One Big,