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

A bleary-eyed Lisa Murkowski exited the Republican whip’s office early Tuesday morning with a coffee in hand, after more than 24 straight hours of backroom negotiations over President Donald Trump’s sweeping tax and spending bill.

After an all-night session mostly consumed with voting down Democratic amendments, the U.S. Senate passed Donald Trump’s budget reconciliation megabill by the smallest possible margin: 51-50, with Vice President J.