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-approved budget bill includes major Medicaid cuts, raising concerns that millions could lose coverage and rural hospitals may face closures, despite claims of increased efficiency and tax relief.