President Donald Trump's "big beautiful bill" would make sweeping changes to U.S. health care, leaving millions without health insurance and threatening hospitals.  The Senate passed the spending measure after a marathon voting session on amendments,

President Donald Trump's tax cut bill would enact steep cuts to the nation's safety-net health insurance program for low income families.

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.