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

Lawmakers who are aligned politically with the president are increasingly voting in line with the chief executive. Doing otherwise could cost them on Election Day.

Republicans in the House of Representatives on Wednesday struggled to pass President Donald Trump's massive tax-cut and spending bill as a handful of hardliners withheld their support over concerns about its cost.