A new hurdle for poor Americans, approved by the House, would cause millions to lose coverage, including many who are working but can’t meet reporting rules.

House Republicans are pushing to slash at least $1 trillion from two of the nation’s bedrock safety net programs, Medicaid and food stamps, as part of their sweeping package aimed at enacting President Donald Trump’s agenda.

Live updates and the latest news as the House passes the sweeping GOP agenda bill. including tax and Medicaid cuts and a SALT increase.

The House approved legislation Thursday that would cut Medicaid spending by nearly $800 billion over the next 10 years, revising President Donald Trump’s so-called “big, beautiful bill” in the final hour to move up the start date for Medicaid work requirements and prohibit Medicaid for gender-affirming care.

The House-approved budget bill includes proposals for significant spending cuts to Medicaid and new work requirements.

The CBO said the GOP’s megabill would lead to $500 billion in cuts to Medicare. Two days later, 215 House Republicans voted for it anyway.

Senate Majority Leader John Thune (R-S.D.) has begun meeting privately with Senate Republicans who are threatening to derail President Trump’s “big, beautiful bill” over what they fear could be

The multi-trillion-dollar tax-cut and spending bill now heads to the Senate, where Republicans have vowed to make changes.