U.S. Sen. Joni Ernst's vote for President Donald Trump's "big, beautiful bill" could be a defining issue in her reelection race.

Minority Leader Hakeem Jeffries is holding the House floor in a speech that has already run for more than four hours, delaying what GOP leaders hoped would be a quick march to the final vote on President Donald Trump's One Big Beautiful Bill Act.

The president insisted that Medicaid was sacrosanct—only to be told that his megabill chops the program by $1 trillion.