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.

The House has passed the massive tax and spending cuts package that President Donald Trump calls “beautiful,” getting it to his desk a day before the July 4 deadline that he had set

The recently passed federal budget bill, known officially as H.R. 1 or the “One Big Beautiful Bill” is drawing criticism from Missouri health care leaders and public officials, who warn that the legislation’s deep Medicaid cuts could lead to widespread coverage losses and strain already struggling rural hospitals.

The Trump administration's budget bill increases spending on border security, immigration enforcement and defense while cutting funds to Medicaid, which could leave nearly 12 million people without healthcare coverage.