The reforms could impact millions by tightening eligibility, shifting program costs, and limiting future benefit increases.

Republicans’ mammoth budget reconciliation bill includes major changes to Medicaid, food stamps, student loans and more. It also permanently extends President Donald Trump’s 2017 tax cuts – at a cost of at least $3.

The House of Representatives passed a massive tax and spending bill early this morning by one vote, moving a key part of President Donald Trump’s agenda forward. The vote as 215-214, with two Republicans joining all Democrats in opposition.