The legislation keeps some House provisions, like new Medicaid rules, while making significant changes in other areas, including Medicare and the state and local tax deduction.

Medicare cuts have largely flown under the radar in the debate over Trump’s megabill. House Republicans passed President Donald Trump’s One Big Beautiful Bill Act last month. Among many provisions,

The Republican-backed "One, Big, Beautiful Bill" has made a lot of headlines in recent weeks. The bill, intended to deliver on some of President Donald Trump's major campaign promises, includes things like no taxes on tips or overtime pay as well as new rules limiting some immigrants' access to various types of government aid.