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.

Roughly 11.8 million adults and children will be at risk for losing health insurance if Republicans' domestic policy package becomes a law. The losses won't come all at once. The GOP's “ One Big, Beautiful Bill Act ” makes changes that will whittle away at enrollment through federal health care programs like Medicaid and