The Senate narrowly approved President Donald Trump's signature second-term policy bill, a nearly 900-page package packed with tax cuts and other campaign promises, in a major legislative victory for the president that came after a tense debate within his party that stretched on for nearly four days.

Senate Republicans narrowly passed President Trump’s $4.5 trillion bill with a tie-breaking vote from Vice President JD Vance. It extends tax cuts and cuts Medicaid, while adding nearly $3.3 trillion to the deficit.

The Republican-controlled U.S. Senate voted on Tuesday to pass a wide-ranging tax-cut and spending bill sought by President Donald Trump, which would cut Medicaid healthcare and food assistance programs for the poor and disabled.

“The changes the Senate made to the House passed Beautiful Bill, including unacceptable increases to the national debt and the deficit, are going to make passage in the House difficult,” Marlin Stutzman, a Republican member of the lower chamber from Indiana, said in a post on X.

Donald Trump’s multitrillion-dollar tax bill is running into Republican resistance in the House as moderate and ultra-conservative GOP lawmakers threaten to defy the president and sink his domestic agenda.