The procedural "rule" vote was 219-213, with one Republican, Rep. Brian Fitzpatrick of Pennsylvania, joining all Democrats in opposition. At one point, five Republicans had voted "no" on the rule, while eight others did not vote, but Speaker Mike Johnson, R-La., managed to sway them overnight.

Frustration within the Republican Party was coming from two camps: fiscal hawks and lawmakers representing districts that heavily rely on Medicaid.

The 218-214 vote Thursday sends the measure to Trump’s desk, ahead of the July 4 target he set for Congress to finish the legislation that cuts taxes, boosts border security and lowers social safety-net spending.

House passes Trump-backed bill, tightening his grip on the Republican Party despite backlash over debt and cuts to Medicaid.

The GOP tax bill stands to deliver a $170 billion windfall to turbocharge immigrant detentions and deportations. But public approval of Trump’s approach has soured.