The legislation extends Trump’s 2017 multitrillion-dollar tax cuts and cuts Medicaid and food stamps by $1.2 trillion. It also provides for a massive increase in immigration enforcement.

In a speech from the White House balcony facing the South Lawn, Trump thanked Republican lawmakers who helped usher the bill to his desk. He touted the tax cuts in the bill, brushing aside criticism of the impact to social programmes such as food assistance and Medicaid.

Republicans in Congress finally settled on a massive legislative package aimed at realizing President Donald Trump’s domestic agenda, and it won’t come cheap. The bill the Senate and House of Representatives approved in July for Trump to sign into law cuts taxes by some $4.

Evidence shows that Medicaid improves people’s health and is particularly vital for babies, older people in need of long-term care and people in rural communities