Vice President JD Vance cast the tie-breaking vote President Donald Trump needed for the Senate to pass his "big, beautiful" bill 51-50 on Tuesday and send it back to the House with some changes.
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Senate Majority Leader John Thune of South Dakota couldn't persuade Republican Sens. Thom Tillis of North Carolina, Rand Paul of Kentucky, and Susan Collins of Maine, to vote in favor of the bill.
For the dissenters , the deal breakers were a deficit that could increase the national debt and 1.2 trillion in cuts on Medicaid and the Supplemental Nutrition Assistance Program, or SNAP , healthcare and food programs for the poor.
While Sens. Ashley Moody and Rick Scott were among the 50 Republicans who voted in support of the bill, Scott lobbied for an amendment that would have further cut Medicaid in 2031. It didn't get a Senate vote.