Vice President JD Vance cast a tie-breaking vote as 3 Republican senators voted against the bill. Here's what's in it.

Senator Collins is well accustomed to the high-wire act of being a Republican moderate in a blue state. Her vote on the GOP bill allows her to continue to walk that line.

Collins told reporters in Washington, D.C., Tuesday that she's still weighing Trump's sweeping budget bill even though the Senate voted against her efforts to increase funding for rural hospitals that will lose critical Medicaid funding.