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      Senate Republicans pass Trump’s sweeping policy bill, clearing major hurdle

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      Senate Republicans on Tuesday passed a major tax and spending bill demanded by Donald Trump, ending weeks of negotiations over the comprehensive legislation and putting it another step closer to enactment.But it remains unclear whether changes made by the chamber will be accepted by the House of Representatives, which approved an initial draft of the legislation last month by a single vote. While Republicans control both houses of Congress, factionalism in the lower chamber is particularly intense, with rightwing fiscal hardliners demanding deep spending cuts, moderates wary of dismantling safety-net programs and Republicans from Democratic-led states expected to make a stand on a contentious tax provision. Any one of these groups could potentially derail the bill’s passage through a chamber where the GOP can lose no more than three votes.The bill’s passage is nonetheless an accomplishment for Senate Republicans who faced their own divisions in getting it passed, and saw one lawmaker announce his retirement after clashing with Trump over the bill. The push to get the legislation done intensified on Saturday when the chamber voted to begin debate, then continued with amendment votes that began on Monday and stretched all night.The vote for passage came just after noon on Tuesday, and required the vice-president, JD Vance, to break a tie that resulted after three Republicans joined with all Democrats in voting against it.In a joint statement, the speaker, Mike Johnson, and the House Republican leadership said: “Republicans were elected to do exactly what this bill achieves: secure the border, make tax cuts permanent, unleash American energy dominance, restore peace through strength, cut wasteful spending, and return to a government that puts Americans first. This bill is President Trump’s agenda, and we are making it law.”The Senate majority leader, John Thune, said Republican senators and staff began laying the groundwork for this budget bill more than a year ago, planning how they would extend tax breaks if they had the votes. He said: “Since we took office in January, Republicans have been laser-focused on achieving the bill before us today. And now we’re here, passing legislation that will permanently extend tax relief for hard-working Americans.”The lower chamber will take up the measure on Wednesday, before a deadline Trump has imposed to have it on his desk by Friday, the Independence Day holiday. But the president has recently made comments indicating the bill could arrive later, saying at a press conference on Friday “we can go longer”, before writing on Truth Social that “the House of Representatives must be ready to send it to my desk before July 4th”.Trump has described the bill as crucial to his presidency, and congressional Republicans made it their top priority. It will extend tax cuts enacted during the president’s first term in 2017, and includes new provisions to cut taxes on tips, overtime and interest payments for some car loans. It funds Trump’s plans for mass deportations by allocating $45bn for Immigration and Customs Enforcement detention facilities, $14bn for deportation operations and billions of dollars more to hire an additional 10,000 new agents by 2029. It also includes more than $50bn for the construction of new border fortifications, which will probably include a wall along the border with Mexico.To satisfy demands from fiscal conservatives for cuts to the US’s large federal budget deficit, the bill imposes new work requirements on enrollees of Medicaid, which provides healthcare to low-income and disabled Americans. It also imposes a limit on the provider tax states use to fund their program, which could lead to reductions in services. Finally, it sunsets some incentives for green-energy technologies created by Congress under Joe Biden.Nonetheless, the bill would add $3.3tn to the US budget deficit through 2034, according to the non-partisan Congressional Budget Office.The Committee for a Responsible Federal Budget, a non-profit focused on fiscal responsibility, called the bill “a failure of responsible governing” because it will add to the federal debt and includes budget gimmicks that disguise how much debt it is adding. The group estimated it would add more than $4tn to the national debt through 2034, and said that if some “arbitrary expirations” were made permanent, they would add $5.4tn.“The Senate reconciliation bill fails almost every test of fiscal responsibility,” said Maya MacGuineas, the group’s president. “Instead of worrying about arbitrary deadlines or sparing the Senate another vote-a-rama, fiscal conservatives should stand up for what’s right and reject the Senate plan to explode our debt.”While it was formally titled the one big beautiful bill act, the Senate’s Democratic minority leader, Chuck Schumer, managed to get the name stricken minutes before the vote for passage, though that is not expected to change how many lawmakers refer to it. Because it was passed using the budget reconciliation procedure that requires legislation only affect spending, revenue and the debt limit, Democrats were unable to use the filibuster to block its passage in the Senate.Schumer called the bill a “big, ugly betrayal”, pointing to the millions who will lose health insurance, job losses and debt increase done in favor of tax breaks for the wealthy and corporate special interests. He also decried the process Republicans used to pass the bill, saying they pushed the rules and norms of the chamber in a way that did “grave damage” to the body.“Today’s vote will haunt our Republican colleagues for years to come as the American people see the damage that is done – as hospitals close, as people are laid off, as costs go up, as the debt increases. They will see what our colleagues have done and they will remember it, and we Democrats will make sure they remember it,” Schumer said.In the lead-up to the bill’s passage, several moderate Republicans signaled unease with its cuts to the social safety net, including North Carolina’s Thom Tillis. After saying on Saturday he would not vote for the bill, Trump publicly attacked him, and the senator announced he would not run for re-election next year, potentially improving Democrats’ chances of picking up the purple state’s seat.“It is inescapable this bill will betray the promise Donald Trump made,” Tillis said on Sunday. Pointing to a forecast that the bill would cost 663,000 North Carolinians their Medicaid coverage, Tillis said: “What do I tell 663,000 people in two years or three years, when President Trump breaks his promise by pushing them off of Medicaid because the funding’s not there any more, guys?”In addition to Tillis, Rand Paul of Kentucky voted against passage, criticizing the bill’s impact on the budget deficit and national debt. Susan Collins, who is expected to face a fierce re-election challenge next year from Democrats for her seat in Maine, also opposed it, saying the measure would “threaten not only Mainers’ access to healthcare, but also the very existence of several of our state’s rural hospitals”.The Alaska moderate Lisa Murkowski expressed similar concerns about its effect on Medicaid, but ended up voting for passage.Now that the legislation is back in the House, Johnson faces a difficult task in getting the Senate’s changes cleared by his conference’s competing factions.Moderates remain concerned about the safety-net cuts, while rightwing Republicans have railed against the bill’s expensive price tag. Last week, David Valadao, a Republican representative whose central California district has one of the highest Medicaid enrollment rates in the nation, said he would not support the measure over its funding changes to the program.On Monday, before the bill’s passage, the Democratic National Committee announced the launch of an organizing campaign to capitalize on the unpopularity of the budget plan’s provisions. Ken Martin, the chair of the DNC, shared in a press briefing that when he was growing up, his family relied on the kinds of safety-net programs that are being cut.Martin said in a statement on Tuesday that the bill helps billionaires at the expense of American families – the sort of messaging the party will rely on as it hits the road to turn out voters for the midterms and special elections.“It’s a massive scheme to steal from working folks, struggling families and, hell, even from nursing homes – all to enrich the already rich with a tax giveaway,” Martin said. “Billionaires don’t need more help – working families do. Democrats will stand shoulder to shoulder with working families to kick these Republicans out of their seats in 2026.”The rightwing House Freedom caucus has also criticized the bill for its price tag. “The Senate must make major changes and should at least be in the ballpark of compliance with the agreed upon House budget framework. Republicans must do better,” they wrote on Monday, as amendments were being considered.In a Tuesday press conference, the House minority leader, Hakeem Jeffries, said the bill represents the “largest cut to Medicaid in American history”. He expects his caucus will uniformly oppose the bill and will be making the case to vote it down in the rules committee and on the House floor.When asked whether House Democrats would use any procedural moves to delay passage of the bill, Jeffries said: “All procedural and legislative options are on the table.” More

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      Trump May Get His ‘Big Beautiful Bill,’ but the G.O.P. Will Pay a Price

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      And so will many voters.There will be many short- and long-term consequences if Republicans succeed in passing President Trump’s signature policy bill, as they aim to do before the July 4 holiday, David Leonhardt, the director of the Times editorial board, tells the national politics writer Michelle Cottle in this episode of “The Opinions.”Trump May Get His ‘Big Beautiful Bill,’ but the G.O.P. Will Pay a PriceAnd so will many voters.Below is a transcript of an episode of “The Opinions.” We recommend listening to it in its original form for the full effect. You can do so using the player above or on the NYT Audio App, Apple, Spotify, Amazon Music, YouTube, iHeartRadio or wherever you get your podcasts.The transcript has been lightly edited for length and clarity.Michelle Cottle: I’m Michelle Cottle and I cover national politics for Times Opinion. So with the July 4 weekend looming, I thought we’d talk about a different kind of fireworks: that is, President Trump’s “big, beautiful bill” and as always, I hope the air quotes there are audible for everybody.But that bill looks like it is on track for passage. From Medicaid cuts to tax breaks for the rich, it is a lot. Thankfully with me to talk about this is David Leonhardt, the fearless director of the New York Times editorial board, who has some very pointed thoughts on the matter. So let’s just get to it. David, welcome.David Leonhardt: Thank you, Michelle. It’s great to be talking with you.Cottle: I’m so excited, but warning to all: We are recording on Monday midday and even as we speak, the Senate is brawling its way through to a final vote. So the situation is fluid and could change the details by the time you all hear this.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Anti-Trump conservative Don Bacon will not seek re-election to Nebraska congressional seat eyed by Dems

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      Republican congressman and vocal Donald Trump critic Don Bacon is reportedly not going to seek re-election during the midterm races in 2026.The conservative politician represents a swing district in Nebraska that includes Omaha, and word of his plans prompted Democratic figures to signal optimism that they could take the seat as the party tries to regain a House majority it has not had since 2023.Bacon’s decision was first reported on Friday by the outlets Punchbowl News and NOTUS before being confirmed on Saturday by the Washington Post. NOTUS and the Post cited anonymous sources familiar with the situation, with the former of those adding that Bacon would make a formal announcement in the coming days.While Bacon had not immediately commented on the reports, his verified social media account did engage with multiple posts expressing “good riddance” to him. He called the author of one such post “an idiot” and told another who claimed he was a thinly veiled Democrat that he was “the real Republican”, having supported the party since he was 13 in 1976.The second congressional district of Nebraska that Bacon represents voted for Kamala Harris when she lost to Trump during November’s White House race. It also voted for Joe Biden when he took the Oval Office from Trump four years earlier. And in May, Omaha elected its first-ever Black mayor: John Ewing Jr, who defeated three-term Republican incumbent Jean Stothert.Bacon’s politics have come to reflect those realities in his district to some extent. The retired US air force brigadier general in May demanded the removal of Trump’s defense secretary, Pete Hegseth, after he shared information about military strikes on Yemen in a Signal messaging app group chat that inadvertently included the editor of the Atlantic.Though the president chose to keep Hegseth in place despite the so-called Signalgate scandal, Bacon told the Post in an interview that he “would have been fired” at any point in his military career for doing what Hegseth did.Separately, in a Post opinion column, Bacon criticized the brutal job and spending cuts that the Trump administration has inflicted within the federal government since the president retook office in January. He filed a bill aiming to hand Congress control over tariffs rather than continue leaving that power with the president as Trump upended financial markets by imposing substantial levies on some of the US’s largest trading partners.Furthermore, he stood as the lone House Republican to vote against a measure that would take Trump’s executive order to rename the Gulf of Mexico to the “Gulf of America” and make it law. “I’m not into doing silly stuff,” Bacon, who joined Congress in January 2017, wrote on social media. “It is sophomoric.”And he has said he and his family endured threats after he opposed Ohio Republican congressman Jim Jordan’s unsuccessful 2023 bid to become House speaker, which at the time had been endorsed by Trump in between his two presidencies.“I’d rather be a defender of the traditional conservative values than just be a team player,” Bacon said to Omaha’s KMTV news station in May. “I think – a team going in the wrong direction, you need somebody to speak up and try to stand for what’s right.”A statement distributed by Democratic congressional campaign committee spokesperson Madison Andrus on Friday said that Bacon’s foregoing re-election marked a “vote of no-confidence for House Republicans and their electoral prospects”.“The writing has been on the wall for months,” Andrus’s statement also said.In a separate statement, the Nebraska Democratic party’s chair, Jane Kleeb, said her party’s prospective candidates “truly represent the values of the district” Bacon’s seat is in.“We are ready for change,” Kleeb said. More

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      Supreme Court Punts Decision on Louisiana Voting Map Until Next Term

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      The justices asked that the case, which has implications for the political power of Black voters, be reargued next term.The Supreme Court declined on Friday to weigh in on Louisiana’s contested congressional voting map, instead ordering that new arguments be scheduled during its next term.There was no explanation offered for why the justices did not make a decision or set a date for new arguments. All but one paragraph in the six-page order was written by Justice Clarence Thomas, the lone dissent.Justice Thomas wrote that it was the court’s duty to hear such congressional redistricting challenges and that the justices had “an obligation to resolve such challenges promptly.”It is the latest twist in a winding legal battle over whether Louisiana drew congressional districts that fairly empower all voters after the 2020 census. The case has been closely watched, given that a decision striking down Louisiana’s map could affect the balance of power in the narrowly divided House of Representatives.For now, the state’s latest map, which the State Legislature approved in January 2024, will remain in place. That map paved the way for a second Black Democrat, Cleo Fields, to join Representative Troy Carter, a New Orleans-area Democrat, in the state’s congressional delegation. It was the first time in decades that Louisiana had elected two Black members of Congress, and allowed Democrats to pick up a second seat in the state.One-third of the state’s population is Black.“Although we hoped for a decision this term, we welcome a further opportunity to present argument to the court regarding the states’ impossible task of complying with the court’s voting precedents,” Liz Murrill, the Louisiana attorney general, said in a statement shared on social media.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Right-Wing Republicans in Congress Attack Mamdani With Islamophobic Comments

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      The responses to Zohran Mamdani’s showing in the New York City mayoral primary were the latest examples of how some G.O.P. lawmakers have grown more overt in using bigoted language and tropes.Representative Andy Ogles, a hard-right Tennessee Republican, on Thursday used Islamophobic language on social media to refer to Zohran Mamdani, the presumptive Democratic nominee for New York City mayor, and said he should be deported.Representative Nancy Mace, Republican of South Carolina, implied that Mr. Mamdani was somehow tied to the Sept. 11, 2001, terrorist attacks, which occurred when he was 9. That came after Representative Marjorie Taylor Greene, Republican of Georgia, reacted on Wednesday to Mr. Mamdani’s apparent victory with an edited image of the Statue of Liberty clothed in a burqa.The responses to Mr. Mamdani’s electoral triumph were the latest examples of how far-right Republicans in Congress have become overt in their use of bigoted language and ethnically offensive tropes, in both casual comments and official statements.Mr. Mamdani, a three-term New York State assemblyman who is all but certain to win the Democratic primary for mayor, was born in Uganda and has lived in New York City since 1998, when he was 7 years old. He was naturalized as a U.S. citizen in 2018 and, if elected, would become the city’s first Muslim mayor.There is no credible evidence to suggest Mr. Mamdani is not, or shouldn’t be, a U.S. citizen. But his shock win put him on the national radar, and some Republicans in Congress are now seeking to undermine him using a strategy similar to the racist one that Donald J. Trump employed against former President Barack Obama by questioning whether he was born in the United States.Representative Andy Ogles of Tennessee wrote that Zohran Mamdani needed to be deported.Jason Andrew for The New York TimesWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Briefing on Iran strikes leaves senators divided as Trump threatens new row

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      Republican and Democratic senators have offered starkly contrasting interpretations of Donald Trump’s bombing of Iranian nuclear facilities after a delayed behind-closed-doors intelligence briefing that the White House had earlier postponed amid accusations of leaks.Thursday’s session with senior national security officials came after the White House moved back its briefing, originally scheduled for Tuesday, fueling Democratic complaints that Trump was stonewalling Congress over military action the president authorized without congressional approval.“Senators deserve full transparency, and the administration has a legal obligation to inform Congress precisely about what is happening,” the Senate Democratic leader, Chuck Schumer, said following the initial postponement, which he termed “outrageous”.Even as senators were being briefed, Trump reignited the row with a Truth Social post accusing Democrats of leaking a draft Pentagon report that suggested last weekend’s strikes had only set back Iran’s nuclear program by months – contradicting the president’s insistence that it was “obliterated”.“The Democrats are the ones who leaked the information on the PERFECT FLIGHT to the Nuclear Sites in Iran. They should be prosecuted!” he wrote.The partisan divisions were on display after the briefing, which was staged in the absence of Tulsi Gabbard, the director of national intelligence, who previously told Congress that Iran was not building nuclear weapons, before changing her tune last week after Trump said she was “wrong”.Instead, the briefing was led by CIA director John Ratcliffe, secretary of state Marco Rubio and defense secretary Pete Hegseth, who had publicly assailed journalists over their reporting on the strikes at a Pentagon press conference.With intelligence agencies apparently in open dispute over the strikes’ effectiveness, Thursday’s briefing did little to clear up the clashing interpretations on Capitol Hill.Lindsey Graham, a South Carolina senator and close Trump ally, said “obliteration” was a “good word” to describe the strikes’ impact.“They blew these places up in a major-league way. They set them back years, not months,” he said. “Nobody is going to work in these three sites any time soon. Their operational capability was obliterated.”But he warned that Iran would be likely to try to reconstitute them, adding: “Have we obliterated their desire to have a nuclear weapon? As long as they desire one, as long as they want to kill all the Jews, you still have a problem on your hands. I don’t want the American people to think this is over.”But Chris Murphy, a Democrat from Connecticut, said Trump was “misleading the public” in claiming the program was obliterated and questioned why Gabbard had not attended the briefing.His skepticism was echoed by Schumer, who said the briefing gave “no adequate answer” to questions about Trump’s claims.“What was clear is that there was no coherent strategy, no endgame, no plan, no specific[s], no detailed plan on how Iran does not obtain a nuclear weapon,” he said, adding that Congress needed to assert its authority by enforcing the War Powers Act.Gabbard and Ratcliffe had scrambled on Wednesday to back Trump, with Gabbard posting on X: “New intelligence confirms what POTUS has stated numerous times: Iran’s nuclear facilities have been destroyed.”The ranking Democrat on the House intelligence committee, Jim Himes, dismissed the destruction claims as meaningless. “The only question that matters is whether the Iranian regime has the stuff necessary to build a bomb, and if so, how fast,” he posted.The destruction response has also rankled Republican senators in the anti-interventionist wing of the party such as Rand Paul, who rejected claims of absolute presidential war powers.“I think the speaker needs to review the constitution,” said Paul. “And I think there’s a lot of evidence that our founding fathers did not want presidents to unilaterally go to war.”The Senate is expected to vote this week on a resolution requiring congressional approval for future military action against Iran, though the measure appears unlikely to pass given Republican control of the chamber.The White House also admitted on Thursday to restricting intelligence sharing after news of the draft assessment leaking.Press secretary Karoline Leavitt told reporters the administration wants to ensure “classified intelligence is not ending up in irresponsible hands”. Leavitt later said the US assessed that there “was no indication” enriched uranium was moved from the nuclear sites in Iran ahead of the strikes.Trump formally notified Congress of the strikes in a brief letter sent on Monday, two days after the bombing, saying the action was taken “to advance vital United States national interests, and in collective self-defense of our ally, Israel, by eliminating Iran’s nuclear program”.The administration says it remains “on a diplomatic path with Iran” through special envoy Steve Witkoff’s communications with Iranian officials. More

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      Trump makes case for ‘big, beautiful bill’ and cranks up pressure on Republicans

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      Donald Trump convened congressional leaders and cabinet secretaries at the White House on Thursday to make the case for passage of his marquee tax-and-spending bill, but it remains to be seen whether his pep talk will resolve a developing logjam that could threaten its passage through the Senate.The president’s intervention comes as the Senate majority leader, John Thune, mulls an initial vote on Trump’s “big, beautiful bill” on Friday, before a 4 July deadline Trump has imposed to have the legislation ready for his signature.But it is unclear whether Republicans have the votes to pass it through Congress’s upper chamber, and whether any changes the Senate makes will pass muster in the House of Representatives, where the Republican majority passed the bill last month by a single vote and which may have to vote again on a revised version of the bill.Trump stood before an assembly composed of police and fire officers, working parents and the mother and father of a woman he said died at the hands of an undocumented immigrant to argue that Americans like them would benefit from the bill, which includes new tax cuts and the extension of lower rates enacted during his first term, as well as an infusion of funds for immigration enforcement.“There are hundreds of things here. It’s so good,” he said. But he made no mention of his desire to sign the legislation by next Friday – the US Independence Day holiday – instead encouraging his audience to contact their lawmakers to get the bill over the finish line.“If you can, call your senators, call your congressmen. We have to get the vote,” he said.Democrats have dubbed the bill the “big, ugly betrayal”, and railed against its potential cut to Medicaid, the federal healthcare program for low-income and disabled people. The legislation would impose the biggest funding cut to Medicaid since it was created in 1965, and cost an estimated 16 million people their insurance.It would also slash funding for the Supplemental Nutrition Assistance Program (Snap), which helps Americans afford food.Republicans intend to circumvent the filibuster in the Senate by using the budget reconciliation procedure, under which they can pass legislation with just a majority vote, provided it only affects spending, revenue and the debt limit. But on Thursday, Democrats on the Senate budget committee announced that the parliamentarian, Elizabeth MacDonough, had ruled that a change to taxes that states use to pay for Medicaid was not allowed under the rules of reconciliation.That could further raise the cost of the bill, which the bipartisan Joint Committee on Taxation recently estimated would add a massive $4.2tn to the US budget deficit over 10 years. Such a high cost may be unpalatable to rightwing lawmakers in the House, who are demanding aggressive spending cuts, but the more immediate concern for the GOP lies in the Senate, where several moderate lawmakers still have not said they are a yes vote on the bill.“I don’t think anybody believes the current text is final, so I don’t believe anybody would vote for it in it’s current form. We [have] got a lot of things that we’re working on,” the senator Thom Tillis of North Carolina, a top target of Democrats in next year’s midterm elections, told CNN on Wednesday.In an interview with the Guardian last week, the Alaska senator Lisa Murkowski declined to say how she would vote on the bill, instead describing it as “a work in progress” and arguing that the Senate should “not necessarily tie ourselves to an arbitrary date to just get there as quickly as we can”.Democrats took credit for MacDonough’s ruling on the Medicaid tax, with the Senate minority leader, Chuck Schumer, saying the party “successfully fought a noxious provision that would’ve decimated America’s healthcare system and hurt millions of Americans. This win saves hundreds of billions of dollars for Americans to get healthcare, rather than funding tax cuts to billionaires.” More

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      RFK Jr grilled on vaccine policies and healthcare fraud in bruising House hearing

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      Robert F Kennedy Jr, the US health secretary, faced a bruising day on Capitol Hill on Tuesday, including being forced to retract accusations against a Democratic congressman after claiming the lawmaker’s vaccine stance was bought by $2m in pharmaceutical contributions.In a hearing held by the House health subcommittee, Kennedy was met with hours of contentious questioning over budget cuts, massive healthcare fraud and accusations he lied to senators to secure his confirmation.Kennedy launched his attack on representative Frank Pallone after the New Jersey Democrat hammered him over vaccine policy reversals. “You’ve accepted $2m from pharmaceutical companies,” Kennedy said. “Your enthusiasm for supporting the old [vaccine advisory committee] seems to be an outcome of those contributions.”The accusation appeared to reference Pallone’s shift from raising concerns about mercury in FDA-approved products in the 1990s to later supporting mainstream vaccine policy – a change Kennedy suggested was motivated by industry money rather than science.After a point of order, the Republican chair ordered Kennedy to retract the remarks after lawmakers accused him of impugning Pallone’s character. But the pharma attack was overshadowed by accusations that Kennedy lied his way into office. Representative Kim Schrier, a pediatrician, asked Kennedy: “Did you lie to senator [Bill] Cassidy when you told him you would not fire this panel of experts?”Two weeks ago, Kennedy axed all 17 members of the CDC’s vaccine advisory committee, despite assurances to Cassidy during confirmation hearings.“You lied to senator Cassidy. You have lied to the American people,” Schrier said. “I lay all responsibility for every death from a vaccine-preventable illness at your feet.”Kennedy denied making promises to Cassidy.The hearing exposed the deepening fractures in Kennedy’s relationship with Congress, even among Republicans who initially supported his confirmation. What began as a routine budget hearing devolved into accusations of dishonesty, conflicts of interest and fundamental questions about whether Kennedy can be trusted to protect public health.In one moment, representative Alexandria Ocasio-Cortez pressed Kennedy about his ignorance to the Trump administration’s reported investigation of UnitedHealthcare, the nation’s largest health insurer, for criminal fraud in Medicare Advantage plans.“You are not aware that the Trump Department of Justice is investigating the largest insurance company in America?” Ocasio-Cortez asked again after suggesting he couldn’t confirm that it was happening.When she said that for-profit insurers such as UnitedHealthcare defraud public programs of $80bn annually, Kennedy appeared confused about the scale: “Did you say 80 million or billion?”“80 with a ‘B’,” Ocasio-Cortez said.For Democrats, Tuesday’s performance confirmed their worst fears about a vaccine-skeptical activist now controlling the nation’s health agencies. For Kennedy, it marked an escalation in his battle against what he calls a corrupt public health establishment pushing back on his radical vision.But behind the political theater lay a fundamental reshaping of America’s public health architecture. Kennedy’s cuts have eliminated entire offices and centers, leaving them unstaffed and non-functional. While he defended the reductions as targeting “duplicative procurement, human resources and administrative offices”, he hinted that some fired workers might be rehired once court injunctions on the layoffs are resolved.Kennedy recently replaced the fired vaccine advisers with eight new appointees, including known spreaders of vaccine misinformation. The move alarmed even supportive Republicans such as Cassidy, who called Monday for delaying this week’s advisory meeting, warning the new panel lacks experience and harbors “preconceived bias” against mRNA vaccines.Kennedy has long promoted debunked links between vaccines and autism, raising fears his appointees will legitimize dangerous anti-vaccine theories.He also explained why he was pulling Covid-19 vaccine recommendations for pregnant women, claiming “there was no science supporting that recommendation” despite extensive research showing the vaccines’ safety during pregnancy.“We’re not depriving anybody of choice,” Kennedy insisted. “If a pregnant woman wants the Covid-19 vaccine, she can get it. No longer recommending it because there was no science supporting that recommendation.”In another sidebar, Kennedy unveiled his vision for America’s health future: every citizen wearing a smartwatch or fitness tracker within four years. The ambitious scheme, backed by what he promised would be “one of the biggest advertising campaigns in HHS history”, would see the government promoting wearables as a possible alternative to expensive medications.“If you can achieve the same thing with an $80 wearable, it’s a lot better for the American people,” Kennedy said. More