Senate Republicans early Thursday greenlit President Donald Trump’s proposal to claw back billions in global health and public media funding, pushing past frustrations within the GOP conference about the White House’s transparency during the process.

The White House-requested spending cuts narrowly made it through the Senate in a 51-48 vote after GOP Sens. Lisa Murkowski of Alaska and Susan Collins of Maine voted “no” alongside Democrats. Sen. Tina Smith (D-Minn.) missed the vote, with her staff disclosing Wednesday that she was being kept in the hospital overnight "out of an abundance of caution."

Because Senate Republicans made changes to the legislation it will need to bounce back to the House, which is expected to vote on it later Thursday. Trump will need to sign the recissions bill by the end of Friday, otherwise he will be forced to spend the money Congress previously approved.

“What we are talking about is one-tenth of one percent of all federal spending … but it’s a step in the right direction and it’s the first time we have done anything like this in 35 years,” Majority Leader John Thune (R-S.D.) said early Thursday morning.