President Donald Trump on Tuesday morning turned up the heat on the more than a dozen House Republican holdout votes endangering passage of the bill.

New rules would restrict access to the low-income health insurance program, punish states covering undocumented children, and shift costs to states.

With last-minute concessions and stark warnings from Trump, the Republican holdouts largely dropped their opposition to salvage the “One Big Beautiful Bill” that’s central to the GOP agenda. The House launched debate before midnight and by dawn the vote was called, 215-214, with Democrats staunchly opposed. It next goes to the Senate.

If only MAGA cared as much about the middle class as they do billionaires, the world would be a better place," one person said of the incident.

The House approved legislation Thursday that would cut Medicaid spending by nearly $800 billion over the next 10 years, revising President Donald Trump’s so-called “big, beautiful bill” in the final hour to move up the start date for Medicaid work requirements and prohibit Medicaid for gender-affirming care.

Senate Majority Leader John Thune (R-S.D.) has begun meeting privately with Senate Republicans who are threatening to derail President Trump’s “big, beautiful bill” over what they fear could be

Democrats, along with a small number of Republicans, argue that expanding Medicaid is a good business deal for Georgia. Gov. Brian Kemp has long opposed it.