Trump has implored GOP holdouts to “STOP TALKING, AND GET IT DONE.” But negotiations are slogging along and it’s not at all clear the package, with its sweeping tax breaks and cuts to Medicaid, food stamps and green energy programs, has the support needed from the House’s slim Republican majority, who are also being asked to add some $350 billion to Trump’s border security, deportation and defense agenda.

Conservatives are insisting on quicker, steeper cuts to federal programs to offset the costs of the trillions of dollars in lost tax revenue. At the same time, a core group of lawmakers from New York and other high-tax states want bigger tax breaks for their voters back home. Worries about piling onto the nation’s $36 trillion debt are stark.

“I think it’s pretty obvious that they’re going to need more time,” said Rep. Andy Harris, R-Md., the chairman of the House Freedom Caucus.

“These are complicated issues with trillions of dollars,” he said. “We’ve got to do this thing right.”

Trump’s visit to address House Republicans at their weekly conference meeting comes at a pivotal moment, testing the president’s deal-making powers. House Speaker Mike Johnson is determined to push the bill forward and needs Trump to provide the momentum, either by encouragement or political warnings or a combination of both.

With House Democrats lined up against the package, GOP leaders have almost no votes to spare. A key committee hearing is set for the middle of the night Tuesday in hopes of a House floor vote by Wednesday afternoon.

Democrats argue the package is little more than a giveaway to the wealthy at the expense of health care and food programs Americans rely on.

“They literally are trying to take health care away from millions of Americans at this very moment in the dead of night,” said House Democratic Leader Hakeem Jeffries of New York.

“If this legislation is designed to make life better for the American people, can someone explain to me why they would hold a hearing to advance the bill at 1 a.m. in the morning?”

Trump has been pushing hard for Republicans to unite behind the bill, which has been uniquely shaped in his image as the president’s signature domestic policy initiative in Congress.

The sprawling 1,116-page package carries Trump’s title, the “ One Big Beautiful Bill Act,” as well as his campaign promises to extend the tax breaks approved during his first term while adding new ones, including no taxes on tips, automobile loan interest and Social Security.

Yet, the price tag is rising and lawmakers are wary of the votes ahead, particularly as the economy teeters with uncertainty.

The Committee for a Responsible Federal Budget, a nonpartisan fiscal watchdog group, estimates that the House bill is shaping up to add roughly $3.3 trillion to the debt over the next decade.

Republicans criticizing the measure argued that the bill’s new spending and tax cuts are front-loaded, while the measures to offset the cost are back-loaded.

In particular, the conservative Republicans are looking to speed up the new work requirements that Republicans want to enact for able-bodied participants in Medicaid. They had been proposed to start Jan. 1, 2029, but GOP Majority Leader Steve Scalise said on CNBC that work requirements for some Medicaid beneficiaries would begin in early 2027.

At least 7.6 million fewer people are expected to have health insurance under the initial Medicaid changes, the nonpartisan Congressional Budget Office said last week.

Republican holdouts are also looking to more quickly halt green energy tax breaks, which had been approved as part of the Biden-era Inflation Reduction Act, and are now being used for renewable energy projects across the nation.

But for every change Johnson considers to appease the hard-right conservatives, he risks losing support from more traditional and centrist Republicans. Many have signed on to letters protesting deep cuts to Medicaid and food assistance programs and the rolling back of clean energy tax credits.

At its core, the sprawling legislative package permanently extends the existing income tax cuts and bolsters the standard deduction, increasing it to $32,000 for joint filers, and the child tax credit to $2,500.

The New Yorkers are fighting for a larger state and local tax deduction beyond the bill’s proposal. As it stands, the bill would triple what’s currently a $10,000 cap on the state and local tax deduction, increasing it to $30,000 for joint filers with incomes up to $400,000 a year. They have proposed a deduction of $62,000 for single filers and $124,000 for joint filers.

If the bill passes the House this week, it would then move to the Senate, where Republicans are also eyeing changes.