Around 12 hours later, after she had convinced Senate leaders to change the bill to benefit her state and voted for the legislation, ensuring its passage, Murkowski said the last day had been “probably the most difficult and agonizing legislative 24-hour period that I have encountered.

New provisions that benefit whaling captains and rural hospitals appear to be aimed at winning over Senator Lisa Murkowski, the Alaska Republican who had said the bill would hurt her state.

Sen. Lisa Murkowski backs Trump's megabill but urges House to return it for fixes, citing Medicaid cuts and tax impacts on Alaska.