<h1>Tax cuts and spending reductions advance after tie-breaking vote, including Medicaid work requirements and expanded debt ceiling authority.</h1> Senate passage advances the One Big Beautiful Bill Act, combining permanent and new federal tax reductions with reductions to green energy credits, tightened Medicaid and food assistance eligibility through work requirements and changed state reimbursements, and added border and national security funding partly offset by immigrant fees. The measure passed by a tie-breaking vote after extensive intra-party negotiations and amendment votes; it differs from the House version on Medicaid and rural hospital funding and returns to the House for further action.