Evidence shows that Medicaid improves people’s health and is particularly vital for babies, older people in need of long-term care and people in rural communities

The Senate version of the legislation makes even steeper cuts to Medicaid than the $800 billion slashed in the House-passed version of the bill.

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.