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.

A fter an all-day, all-night marathon of intense pressure from the White House, the House Thursday passed and sent to President Donald Trump sweeping legislation to cut taxes but also cut help for the millions of Californians who rely on Medicaid and food assistance.