House Committees Advance Trump Budget Bill Cutting $1.5 Trillion, Reshaping Medicaid

House Republicans are advancing President Donald Trump's "big, beautiful bill," a major budget package that aims to cut $1.5 trillion in federal spending and implement $4.5 to $5 trillion in tax cuts over 10 years. Key committees including Energy and Commerce, Ways and Means, and Agriculture are marking up proposals that involve significant changes to Medicaid, food assistance programs like SNAP, and the tax code. The Medicaid changes would impose work requirements, increase eligibility reviews, ban coverage of gender transition services for children, and cut federal funds for states covering undocumented immigrants, while avoiding reductions in federal reimbursement rates for Medicaid expansion populations. The tax framework, central to the bill, extends many provisions of the 2017 Tax Cuts and Jobs Act, eliminates taxes on tips and overtime, and expands the child and adoption tax credits. However, the Congressional Budget Office estimates the bill would reduce the number of people with health insurance by 8.6 million by 2034, and cuts to programs like SNAP have sparked criticism about increased barriers for vulnerable populations. Despite these controversies, Republican leaders are pushing to have the bill on the House floor soon, though internal divisions persist over Medicaid reforms and certain tax deductions.