A sweeping US tax and spending bill has moved closer to a House vote after overcoming Republican conflicts, with four hard-line congressmen voting “present,” allowing it to advance. The legislation aims to extend Trump-era tax cuts, increase military spending, and end taxes on tips, funded partially by cuts to Medicaid and green subsidies. However, dissent remains among party factions, with conservatives demanding stricter Medicaid work requirements and moderates seeking a higher local tax deduction cap, amid concerns it could significantly increase the national debt.