“Tonight we saw a GREAT VICTORY in the Senate,” Trump said in a social media post afterward.
Tillis and Sen. Rand Paul, R-Ky., voted “no.”
Ahead for senators now will be an all-night debate and amendments. If they are able to pass it, the bill would return to the House for a final round of votes before it could reach the White House. With the narrow Republican majorities in the House and Senate, leaders need almost every lawmaker on board.
Senate Democratic leader Chuck Schumer of New York said Republicans released the bill “in the dead of night” on Friday and were rushing through before the public fully knew what was in it. He forced a full reading of the text that began late Saturday and continued into Sunday morning.
But the cutbacks to Medicaid, food stamps and green energy investments are also causing dissent within GOP ranks. Sen. Ron Wyden, D-Ore., said the environmental rollbacks would amount to a “death sentence” for America’s wind and solar industries.
The Republicans are relying on the reductions to offset the lost tax revenues but some lawmakers say the cuts go too far, particularly for people receiving health care through Medicaid. Meanwhile, conservatives, worried about the nation’s debt, are pushing for steeper cuts.
As the roll call teetered, attention turned to Sen. Lisa Murkowski, R-Alaska, who was surrounded by GOP leaders in intense conversation. She voted “yes.”
A short time later, Majority Leader John Thune, R-S.D., drew holdouts Sen. Rick Scott of Florida, Mike Lee of Utah and Cynthia Lummis of Wyoming to his office. Vance joined in. The talks dragged on.
Then Vance led them all back in to vote.
Later, Scott said he had met with the president, adding, “We all want to get to yes.”
Lee said the group “had an internal discussion about the strategy to achieve more savings and more deficit reduction, and I feel good about the direction where this is going, and more to come.”
But over the past days, Republicans have quickly revised those proposals and reinstated them.
The final text includes a proposal for cuts to the Medicaid provider tax that had run into parliamentary hurdles and objections from several senators worried about the fate of rural hospitals. The new version extends the start date for those cuts and establishes a $25 billion fund to aid rural hospitals and providers.
The Senate included a compromise over the so-called SALT provision, a deduction for state and local taxes that has been a top priority of lawmakers from New York and other high-tax states, but the issue remains unsettled.
The current SALT cap is $10,000 a year, and a handful of Republicans wanted to boost it to $40,000 a year. The final draft includes a $40,000 cap, but limits it for five years. Many Republican senators say that is still too generous, but House Republicans are not fully satisfied either.