House Sends GOP Megabill to Trump Despite Medicaid, Deficit Concerns

President Donald Trump's "One Big Beautiful Bill," a massive tax and spending package, was passed by the House of Representatives with a narrow 218-214 vote, largely along party lines with almost all Republicans supporting it and all Democrats opposing. The bill includes substantial spending cuts, notably a $930 billion reduction in Medicaid, which is projected to cause about 12 million people to lose health coverage and potentially close rural health facilities. It also extends the 2017 Trump tax cuts, adds funding for border security and national defense, and promotes fossil fuel production, while cutting programs like SNAP and imposing work requirements for Medicaid. Despite vocal opposition from some Republicans, including Texas GOP members worried about deficits and clean energy tax credits, President Trump leveraged his influence through calls and meetings to secure their votes. Democrats criticized the bill as harmful to vulnerable populations, increasing the deficit, and disproportionately favoring the wealthy, whereas Republicans argued it fulfills campaign promises and strengthens national priorities. The legislation is expected to be signed by President Trump, marking a significant GOP legislative victory ahead of the July 4th holiday.