The GOP package includes tax reductions, Medicaid cuts and changes to student loans.

Fresh off announcing he'll retire next year, Sen. Thom Tillis gave a lengthy floor speech Sunday night attacking cuts to Medicaid in the "big, beautiful bill." Why it matters: The North Carolina Republican is accusing the GOP of breaking President Trump's campaign promises to protect Medicaid.

Senate Republicans restored major Medicaid cuts to Donald Trump’s signature economic legislation, re-fashioning a key provision to overcome a procedural obstacle.Spending cuts to the health insurance program for the poor and disabled partially offset revenue losses from tax cuts in the measure and are a crucial demand of GOP fiscal conservatives.