WASHINGTON (AP) — House Republicans propelled President Donald Trump’s $4.5 trillion tax breaks and spending cuts bill to final congressional passage Thursday, overcoming multiple setbacks to approve his signature second-term policy package before a Fourth of July deadline.

The action suggested a breakthrough on the party’s signature legislation that came after House Republican leaders haggled into the early morning hours with conservatives holdouts.

Fiscal hawks have concerns over the legislation’s ballooning price, and some moderate conservatives are uneasy about steeper cuts to Medicaid.