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.

WASHINGTON—Republican senators are making a mad dash to pass the GOP tax-and-spending megabill and send it to President Trump’s desk by July 4.Senate Republicans cleared the first procedural hurdle late Saturday by a 51-49 vote.

Big changes are ahead for Americans if the Trump-backed bill becomes law. Republicans are trying to pass it by a self-imposed July 4 deadline.