One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

U.S. Representative Marc Veasey, D-Fort Worth, said, "Republicans are putting the needs of Trump in front of their own constituents. This is going to be something I believe that we're going to dig ourselves from underneath for a long time to come."

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.