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The House speaker has been privately working for months on legislation aimed at lowering the cost of prescription drugs, a rare shared priority with President Trump.
The resolution sets up the likely first veto confrontation between Congress and the White House since President Trump took office.
The new rules include automatically increasing the debt ceiling when a new budget is passed and setting up a committee on climate change.
The House and Senate bills are structurally similar, but they diverge on some major policies that could be hard to reconcile before the end of the year.