The so-called "One, Big Beautiful Bill" passed on July 1 on a 51-50 vote after three Republicans defected, requiring Vice President JD Vance to break the tie in a dramatic flourish and send the bill back to the House for final approval but where the outcome remains uncertain.

Senate Parliamentarian Elizabeth MacDonough ruled that a provision in the One Big Beautiful Bill blocking illegal immigrants from receiving Medicaid benefits had to be removed. Senate Republicans are moving the legislation through the upper chamber using the budget reconciliation process,

U.S. Rep. Andy Barr, who represents Kentucky's 6th District including Lexington, championed President Trump's Big Beautiful Bill and secured votes to get it passed.

Vice President JD Vance said cuts to Medicaid and budget impacts in the Senate tax bill don't compare to the importance of ICE spending.

As deep as the House’s Medicaid cuts are for New York, the Senate’s reductions are deeper. Public health officials and hospital groups have been sounding increasingly dire alarms about the domestic policy bill Senate Republicans are advancing this week to enact much of President Trump’s domestic policy agenda.

An analysis by CRFB finds the Senate's One Big Beautiful Bill Act would hasten Social Security and Medicare trust fund depletion, potentially triggering benefit cuts in 2032.