Millions of Americans who get health insurance through Medicaid will face new hurdles after the House passed President Donald Trump's massive tax cut and spending bill, which includes deep cuts to nation's safety-net health insurance program.

Congress has signed off on a $3.4 trillion legislative package featuring new tax breaks, spending cuts, and more funding for defense and immigration enforcement, delivering President Donald Trump his “big, beautiful bill” despite rumblings from fiscal hawks about the projected $4 trillion it could add to the national debt over the next decade.

After days of negotiations and last-minute dealmaking, the US Congress passed a multitrillion-dollar tax and spending bill securing President Donald Trump’s domestic policy agenda. The legislation, which Trump refers to as his “big,