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.

Senate Republicans are defending their changes to federal Medicaid spending in their final push to pass President Donald Trump’s budget reconciliation bill before Independence Day, arguing that the bill does not technically cut the health insurance program for disabled and low-income people.

A rural clinic in a district Trump won by more than 50 points has been forced to shut down, with the CEO citing "cuts to Medicaid."