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.

Flanked by Republican legislators and members of his Cabinet, Trump signed the multitrillion-dollar legislation at a desk on the White House driveway, then banged down a gavel gifted to him by House Speaker Mike Johnson that was used during the bill’s final passage Thursday.