President Trump's tax and spending bill sets in motion nearly $1 trillion in cuts to Medicaid and other health policy changes that could loom over the midterm elections. But the real effects likely won't be felt until well after the ballots are cast.

Donald Trump's 'big, beautiful bill' is poised to pass the House and later reach the president's desk for him to sign.

The Senate passed President Trump's sweeping spending package, including work requirements for some Medicaid recipients.