The legislation extends Trump’s 2017 multitrillion-dollar tax cuts and cuts Medicaid and food stamps by $1.2 trillion. It also provides for a massive increase in immigration enforcement.

The president’s sweeping domestic policy achievement extends his expiring 2017 tax cuts, but could cause millions in the U.S. to lose their health coverage and food aid over the next decade.

Republicans in Congress finally settled on a massive legislative package aimed at realizing President Donald Trump’s domestic agenda, and it won’t come cheap. The bill the Senate and House of Representatives approved in July for Trump to sign into law cuts taxes by some $4.

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