A cap on state and local tax deductions, slashes to Medicaid, increased immigration enforcement and more are included in the spending bill.

Senate Republicans hauled President Donald Trump’s big tax breaks and spending cuts bill to passage Tuesday by the narrowest of margins, pushing past opposition from Democrats and their own GOP ranks.

Senate Republicans narrowly approved President Donald Trump’s sweeping tax and spending cuts package Tuesday after a dayslong grind to secure the support of key holdouts.