Thursday morning's vote is already at the center of ads in swing districts, as Democrats and Republicans battle for control of the House in the midterm elections.

Democratic groups are preparing to start running ads next week attacking House Republicans for their vote to cut Medicaid spending.

Before Speaker Mike Johnson could get his first real stretch of sleep in three days, the House GOP’s painstakingly drafted “big, beautiful bill” was running into resistance in the Senate.

WASHINGTON – House Republicans plan to enact work requirements and more frequent eligibility checks for Medicaid, according to a proposal released late on May 11 by a key GOP-led committee.

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

The multi-trillion-dollar tax-cut and spending bill now heads to the Senate, where Republicans have vowed to make changes.

Speaker of the House Mike Johnson can afford to lose only three votes as he pushes for approval of the legislation.