House Republicans Scramble to Pass $4.5 Trillion Trump Tax Bill Amid Internal Dissent

House Republicans are urgently working to pass President Donald Trump's expansive tax and spending package before the self-imposed July 4 deadline, following its narrow Senate approval. The legislation extends trillions in tax cuts from Trump's first term, increases defense and immigration funding, and offsets costs through significant reductions to Medicaid and food assistance programs, drawing criticism from fiscal conservatives and moderate Republicans concerned about rising deficits and impacts on vulnerable populations. Leadership, including Speaker Mike Johnson, is pressing lawmakers to finalize the bill despite internal dissent, with some Republicans expressing frustration over the rushed timeline and the Senate bill exceeding initial House spending frameworks by about half a trillion dollars. Nearly 12 million people could lose healthcare coverage under the proposed Medicaid cuts, according to the Congressional Budget Office, fueling opposition among members from competitive districts. Trump and GOP leaders emphasize their mandate to deliver on the legislation quickly, framing it as a response to Democrats' failures, while some Republicans remain divided over the bill's fiscal and social consequences. The House faces a delicate balance to secure enough votes, as the GOP majority is slim and a few defectors could jeopardize passage.