After hours of deliberation, the bill passed 215–214, an incredibly slim margin that highlights the lack of political cohesion within the GOP. Two Republican representatives—Thomas Massie of Kentucky and Warren Davidson of Ohio—voted with the Democrats.

It’s a huge week for House Republicans as they seek to pass a massive bill for President Donald Trump’s agenda through their narrow majority along party lines.

Mo., talks last-minute legislative conflicts over the reconciliation bill and Democrats raging over potential Medicaid and Medicare reform.

Initially, the bill only banned coverage of gender-affirming care for transgender minors. But a manager’s amendment was added late Wednesday night to shore up support among the far-right that removed the words “for minors” from that part of the budget bill.

On the tax side, there is concern about the level of green energy clawbacks included in the House bill for the Biden-era Inflation Reduction Act. The spending reductions are meant to pay for the tax cuts, as are reforms to Medicaid that include more frequent eligibility checks and new fees for patients.

However, Republicans largely avoided the deep cuts to Medicaid that were sought by some fiscal hawks in the House GOP Conference, a win for moderate Republicans who were more politically ...

Republicans in the House seek to pass President Trump's tax bill amid internal disagreements over spending cuts and tax breaks. The narrowly advanced bill faces modifications in the Senate and potential political fallout as moderate and hardline conservatives clash over the direction and details of the legislation.

But that's exactly what House Republicans' proposal to overhaul Medicaid will do ... saved over a decade would partially finance the GOP bill's $5 trillion in tax cuts—cuts that are skewed ...

Presented by The Coalition to Strengthen America’s Healthcare{beacon} Health Care Health Care   The Big Story Budget bill faces Senate opposition over Medicaid Just like the