For months, more than a dozen Hill Republicans have been sounding the alarm about the steep Medicaid cuts in President Donald Trump’s sprawling agenda package, which is now just hours away from becoming law.

Congress has signed off on a $3.4 trillion legislative package featuring new tax breaks, spending cuts, and more funding for defense and immigration enforcement, delivering President Donald Trump his “big, beautiful bill” despite rumblings from fiscal hawks about the projected $4 trillion it could add to the national debt over the next decade.

Supporters of the sweeping tax and spending legislation that Congress has sent to President Donald Trump say the changes to Medicaid, food aid and other programs will encourage personal responsibility and halt those scamming the system.

In a meeting with moderate Republicans, Trump highlighted three programs not to be cut if the GOP wanted to win elections between 2026 and 2028: Medicaid, Medicare and Social Security, according to NOTUS.