The House approved legislation Thursday that would cut Medicaid spending by nearly $800 billion over the next 10 years, revising President Donald Trump’s so-called “big, beautiful bill” in the final hour to move up the start date for Medicaid work requirements and prohibit Medicaid for gender-affirming care.

The multitrillion-dollar tax cut and spending bill now heads to the Senate, where Republicans have vowed to make changes.

Speaker Mike Johnson delivered a major win for President Donald Trump early Thursday morning, quashing a conservative rebellion and driving a deeply divided House GOP to pass a bill that many of them were still pushing fiercely to change.

The House of Representatives passed Trump's "One Big Beautiful" reconciliation budget that will likely kick millions off programs like Medicaid.

House Republican Speaker Mike Johnson (R-LA) took a victory lap in a speech Thursday in which he cheered President Donald Trump for his leadership. Meanwhile, the bill he's so excited about still must pass the Senate — and things aren't looking good.

The House-approved budget bill includes proposals for significant spending cuts to Medicaid and new work requirements.

Senate Majority Leader John Thune (R-S.D.) has begun meeting privately with Senate Republicans who are threatening to derail President Trump’s “big, beautiful bill” over what they fear could be substantial cuts to Medicaid.

An appearance by House Speaker Mike Johnson (R-LA) at a meeting with Republican senators reportedly did little to sway some naysayers who have no interest in passing the latest budget bill once in makes its way to the Senate floor.

President Trump is celebrating House Speaker Mike Johnson after the House voted to pass the Republican budget bill. Mr. Trump did not mention changes to Medicaid proposed in the package. CBS News' Natalie Brand reports from the White House.