Republicans tax bill will cut $1 trillion from Medicaid and Affordable Care Act insurance plans. Nearly 12 million people to lose health insurance.

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.

After 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. The vote was 218 to 214 with all Democrats and two Republicans voting no.