The Senate narrowly passed President Donald Trump’s tax-and-spending bill with a vote of 51-50, with Vice President JD Vance casting the tiebreaker. The bill now returns to the House for final approval before the July 4 deadline.

Virginia’s hospitals are sounding the alarm after President Donald Trump signed his big beautiful bill into law. The latest data from the non-partisan Congressional Budget Office found that about 11.8 million people could lose their health insurance as a result of cuts made to Medicaid and other programs.

President Trump's signature tax and spending legislation, the "big beautiful bill," is now law, and that means cuts to Medicaid spending. The big picture: The law sets in motion almost $1 trillion in slashes to Medicaid and other health policy changes,