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The Alaska Republican, a frequent critic of the president who is often a swing vote, acknowledged the bill would harm Americans but backed it after winning carve outs for her state.
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MPs approved the Universal Credit and Personal Independence Payment Bill but only after ministers made big changes.
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Senators Susan Collins of Maine, Rand Paul of Kentucky and Thom Tillis of North Carolina defied the president on his signature measure.
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Senators cast 49 votes during a marathon session on President Trump's domestic policy bill. Vice President JD Vance cast the deciding vote on the final version after roughly 27 hours without a recess.
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(Top headline, 3rd story, link)
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The Senate voted 51 to 50 to pass President Trump's sweeping domestic policy package.
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The Senate held an hourslong vote-a-thon on the legislation as Republicans continued to grasp for the support to pass President Trump's signature legislation.
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Senate lawmakers are debating President Trump's 940-page so-called big, beautiful bill as Republicans race to meet a Trump-imposed July 4 deadline and are set to vote on key amendments. Senate Republicans have deepened the cuts to Medicaid while cutting taxes for the wealthy and increasing the national deficit. "Basically, you have Republicans taking food and medicine and other things away from vulnerable people in order to finance tax cuts for the rich," says David Dayen, executive editor of The American Prospect.
Dr. Adam Gaffney, a critical care physician and professor at Harvard Medical School, co-authored a report that found the bill could lead to 1.3 million Americans going without medications, 1.2 million Americans being saddled with medical debt, 380,000 women going without mammograms, and over 16,500 deaths annually. "I work in the ICU. I see patients with life-threatening complications of untreated illness because they didn't get care because they couldn't afford it. What happens when we add to that number massively?" says Gaffney.
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