The procedural "rule" vote was 219-213, with one Republican, Rep. Brian Fitzpatrick of Pennsylvania, joining all Democrats in opposition. At one point, five Republicans had voted "no" on the rule, while eight others did not vote, but Speaker Mike Johnson, R-La., managed to sway them overnight.

President Trump is scheduled to sign the bill into law at 4 p.m. on July 4 at the White House, locking in tax reductions and Medicaid cuts.

But almost all of the Republican holdouts on the megabill flipped and voted to advance the legislation early Thursday — setting up a final vote. During the all-nighter, GOP leaders kept the procedural vote open for almost six hours as they worked to flip 12 votes.