Live updates and the latest news as the Senate votes on the Republican agenda bill and Trump tours the Florida migrant center dubbed "Alligator Alcatraz."

President Donald Trump’s multitrillion-dollar tax and spending package moved closer to reality after it passed the Senate Tuesday.Republican senators altered an earlier version approved by the House to make deeper cuts to safety-net programs such as the Medicaid health insurance for the poor and disabled.

At hospitals around the state and country, this latest vote raises the level of uncertainty over how they are going to be able to care for patients in the future.