The vote came after an all-night debate that saw at least one lawmaker fall asleep at his post. Republicans rejected a series of proposed changes by opposition Democrats, who blasted the bill as a wasteful giveaway to the wealthy that would shred health and food benefits for the poor and worsen the nation's financial standing.

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A conservative advocacy group is hosting a day of action in competitive congressional districts as House Republicans iron out the details of Trump's "big, beautiful bill."