For the fourth time since Donald Trump was sworn in as president this year, House Republicans managed to do the unthinkable: compromise to pass fiscal legislation with near total unanimity.

House Republicans were jubilant after muscling through President Donald Trump’s “big, beautiful” tax and immigration package by a single vote.

The bill could leave approximately 7.7 million people on Medicaid and Affordable Care Act plans without coverage, according to the Congressional Budget Office.