Will Vice President JD Vance have to issue another tiebreaking vote

Vice President JD Vance could deliver the tiebreaking vote in the U.S. Senate for President Donald Trump’s “big, beautiful, bill” should it fail to receive enough support from Republican lawmakers. 

Republicans are scrambling to reform and pass the measure ahead of Trump’s July 4 deadline after Senate Parliamentarian Elizabeth MacDonough’s determination Thursday that several Medicaid reforms in the sweeping tax and domestic policy package did not follow Senate rules and must be removed. 

As president of the Senate, the vice president casts a tiebreaking vote when a measure fails to receive majority support.

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There are 53 Republicans in the Senate, meaning three Republican senators could opt out of voting for the bill, and it could still pass with Vance’s support. 

Vance has previously cast tiebreaking votes in the Senate, including in January to confirm Trump’s pick for Secretary of Defense, Pete Hegseth, and on a measure in April to curb Trump’s ability to impose global tariffs. 

Vance’s office declined to provide comment to Fox News Digital.

Republican lawmakers who’ve historically voiced concerns about certain Medicaid provisions included in the “big, beautiful, bill” include senators Susan Collins of Maine, Josh Hawley of Missouri and Lisa Murkowski of Alaska. These lawmakers have cautioned that the reforms would prove detrimental to rural hospitals in their states. 

Spokespeople for Collins, Hawley and Murkowski did not immediately respond to a request for comment from Fox News Digital. 

Sen. Josh Hawley (Bill Clark/CQ-Roll Call, Inc via Getty Images)

The domestic policy package also included provisions to beef up border security and would also make permanent the 2017 Tax Cuts and Jobs Act from Trump’s first term.

The White House’s Office of Management and Budget Director Russell Vought told lawmakers earlier this month failure to pass the measure would result in a 60% tax hike for Americans and would trigger a recession. 

As a result, Matt Wolking, who previously served as the deputy communications director for Trump’s 2020 campaign, said Senate Republicans will ultimately band together to approve the…