After weeks of intraparty fighting, House Republicans passed the reconciliation package that addresses President Donald Trump’s fiscal agenda in a largely party line 215-214 vote early Thursday morning. Reps. Thomas Massie (R-KY) and Warren Davidson (R-OH) voted against the bill, joining all Democrats in opposing the package.

House Republicans leaders are planning to accelerate new Medicaid work requirements to December 2026 in a deal with ultra-conservatives on the giant tax bill, according to a lawmaker familiar with the discussions.

The provision is a result of a last-minute change to the bill before its passage out of the House early Thursday.

Congressman Ryan Mackenzie joined the vast majority of House Republicans in voting in favor of President Trump’s multitrillion-dollar tax breaks package early Thursday morning, which now

The bill would bring dramatic changes to the Medicaid program, but it also has implications for drug prices, managed care providers, and hospitals.

The House approved legislation Thursday that would cut Medicaid spending by nearly $800 billion over the next 10 years, revising President Donald Trump’s so-called “big, beautiful bill” in the final hour to move up the start date for Medicaid work requirements and prohibit Medicaid for gender-affirming care.