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Vice President JD Vance can offer presidents a tiebreaker vote in the U.S. Senate Donald Trump’s “Big, beautiful, Bill” had not received enough support from Republican lawmakers.
Republicans scramble to reform and adopt the measure ahead of Trump’s July 4 deadline Senate Member Elizabeth MacDonough’s determination Several Medicaid reforms in a large number of tax and domestic policy packages failed to comply with Senate regulations and must be removed on Thursday.
As Senate president, the vice president voted seven votes when a measure failed to gain majority support.
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Vice President JD Vance met with Doysach Michelle Martin ahead of the White House St. Patrick’s Day reception in Washington in March. (Niall Carson/PA image via Getty Images)
There are 53 Republicans in the Senate, meaning three Republican senators can opt out of the bill, but can still be passed with Vance’s support.
Vance had previously voted in the Senate, including in January to confirm the draft pick for Trump’s Defense Secretary Pete Hegseth, and took measures in April to curb Trump’s ability to tariffs on global tariffs.
Vance’s office Refuse to comment to Fox News Digital.
Republican members who have historically expressed concerns about certain Medicaid provisions in the Big, Beautiful, Act include Sen. Susan Collins of Maine, Josh Hawley of Missouri and Lisa Merkowski of Alaska. The MPs warn that reforms will prove harmful Rural hospitals in their state.
A spokesperson for Collins, Hawley and Murkowski did not immediately respond to a request for comment from Fox News Digital.

Senator Josh Hawley (Bill Clark/CQ-Roll Call, Inc, via Getty Images)
Domestic policy plans also include provisions to strengthen border security and will permanently begin the Tax Cuts and Jobs Act 2017 from Trump’s first term.
White House Administration and Budget Director Russell Vought told lawmakers earlier this month that failing to pass the measure would result in a 60% tax hike for Americans and would trigger a recession.
As a result, Matt Wolking, who previously served as deputy communications director for Trump’s 2020 campaign, said Senate Republicans will eventually unite to approve the legislation to prevent tax cuts from expired.
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“Senate Republicans don’t want a massive tax increase on the middle class if they don’t expand President Trump’s tax cuts. So, ultimately, they’ll do the job,” Wolking, currently at GOP consulting firm Axiom Strategy, said in a statement to Fox News Digital.
“President Trump has a lot of wealth in negotiations with JD Vance, whether the tie needs to be broken, the administration will achieve another major victory in the midterm elections, and economic strength will be a big factor in the midterm elections,” Volkin said.

R-Maine Senator Susan Collins has supporters outside the Kittery Trading Post where she was welcomed by KTP Vice President Fox Keim. (Rich Beauchesne/seacoastonline)
Earlier this month, Vance met with Republican senators to discuss the measure during a closed lunch and said he was hopeful about the chances of passing legislation.
“I mean, look, I can’t make any promises. … I can’t predict the future, but I do think it’s a great place to do this in the lounge on July 4,” Vance told reporters on June 17.
Vance also told reporters that despite concerns among lawmakers, including Collins, Medicaid regulations He will work hard to resolve any questions raised. Nevertheless, he said broad agreement was still reached within the party to reform Medicaid to prevent opportunities for illegal immigration.
“They are all very confident that we will eventually get there,” Vance said.
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President Donald Trump looked at a photo of Katie Abraham to the left of her father, Joe Abraham, to watch it at an event to promote Trump’s domestic policy and budget agenda. (AP Photo/Mark Schiefelbein)
The House passed the version of the measure in May with a profit of 215-214, with two Republicans voting on the legislation.
Trump urged lawmakers to put legislation on the finish line on Thursday, marking the measure as “the most important border legislation ever crossing the floor of Congress.”
“This is the final codification of our agenda, very simple, a sentence I’ve used well over the past decade, but it could even make America great again before that,” Trump said at the White House on Thursday.