Vice President JD Vance cast a tie-breaking vote as 3 Republican senators voted against the bill. Here's what's in it.

Senator Collins is well accustomed to the high-wire act of being a Republican moderate in a blue state. Her vote on the GOP bill allows her to continue to walk that line.

Sen. Susan Collins said she told the White House and Republican leadership weeks ago that President Donald Trump’s signature policy bill would have to be overhauled for her to vote “yes.” The changes that Collins wanted were never made.