The House has passed President Joe Biden’s $1.75 trillion Build Back Better Act after months of negotiations between moderate and progressive Democrats.

In a narrow 220 to 213 vote on Friday morning, Democrats advanced the massive spending package.

Every Republican and just one Democrat, Rep. Jared Golden (D-Maine), voted against the bill.

Friday’s vote comes after House Democrats struggled for months to reach an agreement between moderate and progressive members on the spending package and a separate roughly $1 trillion bipartisan infrastructure bill, which forced House Speaker Nancy Pelosi (D-Calif.) to delay votes on the measures multiple times.

On Nov. 5, the House passed the infrastructure bill, and Biden signed it into law on Monday.

The Build Back Better Act, a social spending and climate bill, includes provisions to fund universal preschool, access to ā€œhigh qualityā€ child care, provide affordable home-care for elderly Americans and individuals with disabilities, extend the Child Tax Credit for one year ā€œwith monthly payments for households earning up to $150,000 per year.ā€

It also provides roughly $550 billion for investments in clean energy and efforts to combat climate change.

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Additionally, it extends the Affordable Care Act’s premium tax credits and creates a hearing benefit for Medicare.

The bill includes provisions to help offset the expenditures such as a 15% minimum tax on large corporations, a tax on stock buybacks, a ā€œcorporate international reformā€ designed to ā€œstop rewarding companies that ship jobs and profits overseas,ā€ and ā€œIRS investments to close the tax gap.ā€

However, the Congressional Budget Office (CBO) found that the bill would add $367 billion to the deficit over 10 years.

Still, The Wall Street Journal notes, ā€œFor technical reasons, the CBO’s bottom line doesn’t include $207 billion in revenue that the scorekeeper estimates would result from pouring roughly $80 billion into tax-enforcement efforts at the Internal Revenue Service.

ā€œAdding that revenue to the CBO’s other estimates would make the bill’s 10-year deficit about $160 billion. The Biden administration says its IRS spending would generate $480 billion,ā€ it added.

The passage of the package was delayed for several hours after House Minority Leader Kevin McCarthy (R-Calif.) spoke on the House floor for 8 hours and 32 minutes, as IJR reported.

The bill will now head to a 50-50 Senate where its fate is uncertain.