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.

JEFFERSON CITY, Mo. (AP) — Supporters of the sweeping tax and spending legislation that Congress has sent to President Donald Trump say the changes to Medicaid, food aid and other programs will encourage personal responsibility and halt those scamming the system.

“Mean and cruel” — that’s how U.S. Sen. Catherine Cortez Masto described Medicaid cuts in President Donald Trump’s budget bill after passage in the Senate. She gathered Nevada health care leaders and workers July 2 to talk about how the state would be affected.