Senate Majority Leader John Thune can afford to lose three Republican senators and still pass the bill, and there are more than that, right now, who have problems with it. Like the House, he will have to balance the concerns from moderate and conservative members of his conference.

The House of Representatives passed the “one big, beautiful bill” Thursday morning, but not before the House Rules committee introduced

Millions of low-income Americans, including families with children, could lose their food stamp benefits under House Republicans’ newly passed tax and spending cuts package, according to a Congressional Budget Office analysis released Thursday.

More than 7 million people will lose Medicaid coverage over the next 10 years if the bill becomes law, according to the Congressional Budget Office.

House and Senate leaders are broadly aligned on the tax bill and have been meeting regularly to avoid points of conflict. But Senate Republicans made clear the compromise, a product of frenzied last-minute negotiations, must be negotiated again after it passed the House by a single vote on Thursday.

A provision in House Republicans’ “big, beautiful bill” passed Thursday would ban Medicaid from covering gender-affirming health care for transgender people of all ages, a last-minute addition to the measure with the potential to upend care for hundreds of thousands of trans Americans.

The White House says the House GOP's tax cuts will usher in an economic boom. Top economists say the upside is negligible.