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.

The Senate Republican tax bill speeding to passage includes the biggest reduction of funding for the federal safety net since at least the 1990s.