The tally, 51-49, came after a tumultuous session with Vice President JD Vance on hand if needed to break the tie.

Forecaster says the bill would cut health cover for 11.8 million people and increase deficit by $3.3 trillion.

North Carolina Sen. Thom Tillis won’t seek reelection after voting against Trump’s tax bill, setting up a high-stakes race ...

A provision to kill the federal nursing home staff rule could be stripped from a massive 10-year spending reconciliation bill because it is subject to a standing Senate rule that forbids policy ...