Washington — The House convened Wednesday to take up President Trump's Senate-passed massive domestic policy bill, to approve changes to the legislation ahead of a July 4 deadline to get the bill to the president's desk for his signature.

Republican infighting defined a caustic debate that saw significant opposition to Medicaid cuts, which could define the 2026 midterm elections

Vice President JD Vance cast the tie-breaking vote in the evenly split 50-50 chamber, securing the bill's Senate passage.