One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

In a splashy Fourth of July ceremony, with a B-2 stealth bomber and jet fighters flying over the White House, Trump put his signature to the legislation, notching a major second-term accomplishment after guiding the package through narrow majorities in both houses of Congress.

At the White House on the Fourth of July, President Donald Trump held a “ Big Beautiful Bill ” signing, complete with B-2 bombers.