Senate Majority Leader John Thune (R., S.D.) could have chosen to shrink the bill’s debt-ceiling increase to sway Rand Paul (R. Ky.), or adjust the Medicaid provisions to woo Sen. Thom Tillis (R., N.C.) and Collins. Instead, he gave more to Alaska—and it worked.

Three Republican senators voted against President Donald Trump’s “big, beautiful” bill Tuesday morning, citing concerns with reforms to Medicaid and

A Republican Senator who heavily criticized the Trump-backed "one big, beautiful" tax and spending bill before ultimately voting in favor of it has once again criticized the bill.