From centrists worried about Medicaid cuts to conservative hard-liners demanding steeper spending reductions, Senate GOP leaders face a tricky balancing act.

Musk ratcheted up his rhetoric against the legislation this week, branding it a “disgusting abomination” before attacking Trump directly, calling for him to be impeached, threatening to start a rival party, and suggesting he had links with the disgraced financier and child trafficker Jeffrey Epstein.