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.

The bill would cut $1.1 trillion in health-care spending and result in 11.8 million people losing health coverage over the next decade, according to estimates.

Congressional Budget Office predicts Trump spending cuts package could cut federal Medicaid by $1 trillion over the next 10 years