Republicans in Congress finally settled on a massive legislative package aimed at realizing President Donald Trump’s domestic agenda, and it won’t come cheap. The bill the Senate and House of Representatives approved in July for Trump to sign into law cuts taxes by some $4.

Republicans tax bill will cut $1 trillion from Medicaid and Affordable Care Act insurance plans. Nearly 12 million people to lose health insurance.

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.