The passage of the bill would go against Trump's repeated promises to keep Medicaid intact. Health policy experts and health care workers say sharp Medicaid cuts could result in vulnerable Americans no longer being able to receive care, either by losing coverage or by closing the centers that provide such care.

The Congressional Budget Office estimates 11.8 million could lose their health care coverage and $3.3 trillion would be added to the U.S. debt if President Trump's "big, beautiful bill" is passed. Former Rep.

A sprawling budget bill in the US Senate could cut health insurance coverage for nearly 12 million Americans and add $3.3tn (£2.4tn) in debt, according to new estimates. The assessment from the Congressional Budget Office,

The 1,000-page legislation calls for cuts to government programs like Medicare and SNAP as the Senate works to pass the bill by the holiday deadline.

U.S. Senate Republicans were trying to pass President Donald Trump's sweeping tax-cut and spending bill on Monday, despite divisions within the party about its expected $3.3 trillion hit to the nation's debt pile.

Senate Republicans can afford to lose no more than three of their own votes on the bill, but two already are opposed and others remained undecided.