The legislation now heads to the House for possible final approval, though a handful of Republicans there have already voiced opposition.

President Donald Trump’s multitrillion-dollar tax and spending package moved closer to reality after it passed the Senate Tuesday.Republican senators altered an earlier version approved by the House to make deeper cuts to safety-net programs such as the Medicaid health insurance for the poor and disabled.

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.