The Senate narrowly approved President Donald Trump's signature second-term policy bill, a nearly 900-page package packed with tax cuts and other campaign promises, in a major legislative victory for the president that came after a tense debate within his party that stretched on for nearly four days.

Some 63% of nursing home residents nationwide rely on Medicaid, which is facing steep cuts from President Trump's spending bill.

Senate Republicans narrowly passed President Trump’s $4.5 trillion bill with a tie-breaking vote from Vice President JD Vance. It extends tax cuts and cuts Medicaid, while adding nearly $3.3 trillion to the deficit.