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

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.

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.