At the same time, their moderate counterparts desire greater tax relief for those states with higher state and local tax systems and more generous assurances for Medicaid coverage. Meanwhile, Democrats have been left on the sidelines,

The vote is a significant, but not fatal, setback to the legislation that President Donald Trump hopes will define his second term.

The House Budget Committee voted down the massive party-line package, with a critical band of Republicans pushing for deeper spending cuts.