Vice President JD Vance provided the tie-breaking vote to get Trump's bill across the finish line. It now must go back to the House for approval.

Congressional Republicans are seeking to mandate that millions of Americans work in order to receive federally subsidized health insurance. Georgia, the only state with a Medicaid work mandate, started experimenting with the requirement on July 1,

Donald Trump’s giant tax and spending bill has cleared the Senate but leaves millions worried. The “Big Beautiful Bill” slashes Medicaid, food aid, green jobs, and student relief to fund tax breaks for the rich.