Vice President JD Vance cast a tie-breaking vote as 3 Republican senators voted against the bill. Here's what's in it.

Republican Maine Sen. Susan Collins voted against an amendment that would have barred illegal immigrants from receiving Medicaid benefits. Collin’s voted “no” on Republican Texas Sen. John Cornyn’s amendment to the “Big,

"This amendment would help keep them open and caring for those who live in these rural communities," Collins said.