The bill, ushered through Congress by Republican leadership and signed by Trump Friday, includes $4.5 trillion in tax cuts, slashes spending on Medicaid, and creates temporary tax deductions for overtime and tipped income. It includes $170 billion for immigrant detention and for new personnel for Immigration and Customs Enforcement.

The U.S. House of Representatives passed President Donald Trump's tax-cut and spending bill on Thursday, which contains sweeping changes to the government's Medicaid healthcare program covering about 71 million low-income Americans.

The Senate parliamentarian nixed a number of proposals Republican lawmakers hoped would help pay for more than $4.5 trillion in tax cuts.

Hawley and other Republicans acknowledge that the main cost-saving provision in the bill – new work requirements on able-bodied adults who receive health care through the Medicaid program ...

The recent approval of a sweeping tax and spending cut package by Republicans, led by President Trump, has sparked widespread concern. The legislation's $1.2 trillion Medicaid cuts threaten rural healthcare,