It took intense lobbying from President Donald Trump, an all-nighter, and a vote on a bill for which many people did not yet have a clear grasp of the final changes, but House Republicans got it done this week.

The agency providing Congress with cost estimates — including projections for the GOP’s major reconciliation bill — has a long

The bill reflects the current tension in the GOP over keeping old guard Republicans, business interests and Wall Street donors happy even as Trump challenges other elements of party orthodoxy.

Trump policy agenda: The House Budget Committee late Sunday night revived President Trump’s stalled bill to cut taxes and spending, after a handful of fiscally conservative Republicans relented and allowed it to advance even as they continued to press for deeper reductions to health and environmental programs. Read more ›

But on Thursday, two last-minute additions went even further: The reconciliation bill that was passed now seeks to ban Affordable Care Act health care plans from covering abortion and gender-affirming care for all Medicaid patients, including adults, after initially proposing to ban care for just minors.

“I liken it to a death march through a series of choices that nobody really wanted to be making,” said Oren Cass, the chief economist of the right-leaning think tank American Compass and a leading proponent of conservative economic populism among allies of Donald Trump.

The House Agriculture Committee approved nearly $300 billion in cuts to SNAP benefits, putting many at risk of hunger.

Conservatives are demanding deeper cuts in federal spending, including the elimination of clean energy tax credits and work requirements for Medicaid recipients to start earlier.

Trump’s Thursday calls to at least two senators suggest he may not be willing — or able — to sit on the sidelines for as long as he did with the House.