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聽President Donald Trump鈥檚 big聽聽to passage Tuesday on the narrowest of votes, pushing past opposition from Democrats and their own GOP ranks after a turbulent overnight session.

Vice President JD Vance broke a 50-50 tie to push it over the top. The three Republicans opposing the bill were Sens. Thom Tillis of North Carolina, Susan Collins of Maine and Sen. Rand Paul of Kentucky.

What to know about the Big Beautiful Bill Act

The bill is a sprawling collection of GOP priorities:聽Tax breaks, spending cuts and new money for national defense and deportations are among聽. Democrats worry the bill鈥檚 reductions to Medicaid will leave millions without care.

The bill still needs to go back to the House:聽The bill has to pass the House again before Trump can sign it into law, and the difficulty for Republicans is not expected to let up.聽warned senators not to deviate too far from what his chamber had already approved. But the Senate did make changes, particularly to Medicaid, risking more problems as they race to finish by Trump鈥檚 Fourth of July deadline.

Congressional Budget Office review:聽The nonpartisan CBO said Sunday the bill would聽聽load from 2025 to 2034, a nearly $1 trillion increase over the House-passed version of the bill. The analysis also found that 11.8 million Americans would become uninsured by 2034 if the bill passed.

鈥榃e do not have a perfect bill by any stretch of the imagination鈥�

With three Republicans voting no on Trump鈥檚 big bill, Alaska Sen. Lisa Murkowski provided a critical yes vote that got Republicans to their required 50 votes. Murkowski called the decision-making process 鈥渁gonizing.鈥�

鈥淚 had to look on balance, because the people in my state are the ones that I put first,鈥� Murkowski said. 鈥淲e do not have a perfect bill by any stretch of the imagination.鈥�

Senate Majority Leader John Thune called her an 鈥渋ndependent thinker.鈥�

鈥淚 think that she obviously came to her conclusion,鈥� Thune told reporters after. 鈥淚鈥檓 just grateful that, at the end of the day, she concluded what the rest of us did.鈥�

Rand Paul reacts

鈥淭he big not-so-beautiful bill has passed,鈥� he told reporters.

Collins secured $50B in rural hospital funds and still voted no

The Maine senator said she鈥檚 happy the bolstered funding was, 鈥渂ut my difficulties with the bill go far beyond that.鈥�

Collins was among several GOP senators who have worried that the bill鈥檚 Medicaid provider cuts would hurt hospitals, particularly in rural regions.
While her amendment to beef up the fund was rejected, the provision was inserted into the final bill.

Thune worked around the clock to secure the votes

鈥淚n the end we got the job done, and we鈥檙e delighted to be able to be partners with President trump and his agenda,鈥� Thune said after the vote.

Dems make displeasure known in roll call vote

Tensions were high on the Democratic side of the aisle during Tuesday鈥檚 final vote on the big tax and spending cut bill.

Several yelled their 鈥淣o鈥� as the roll call ensued. Others filtered out almost immediately and before a final tally could be announced.

Sen. Angus King, an independent from Maine, walked over to the Republican side of the chamber upon exiting and could be heard from the gallery admonishing GOP colleagues: 鈥淪hame on you guys,鈥� he said in a loud voice.

These GOP senators opposed Trump鈥檚 bill

• Sen. Thom Tillis of North Carolina
• Sen. Susan Collins of Maine
• Sen. Rand Paul of Kentucky

Senate Republicans haul Trump鈥檚 big bill to passage after a turbulent all-night session