In the Senate, Trump’s influence was more muted. His volatile relationship with Republican Sen. Lisa Murkowski of Alaska prevented him from swaying her. Instead, he relied on allies in Congress, as well as his legislative team, to get the bill over the finish line by offering Murkowski aid for her state.

The tight roll call, 218-214, came at a potentially high political cost, with two Republicans joining all Democrats opposed.

House passes Trump-backed bill, tightening his grip on the Republican Party despite backlash over debt and cuts to Medicaid.