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.

According to Missouri State Senator Steven Roberts, over 1.4 million Missourians rely on Medicaid. Roberts, who toured north St. Louis, believes the bill prioritizes border security and increases spending at the Pentagon.

Trump’s “Big Beautiful Bill” proposes sweeping changes to Medicaid and Medicare, including cuts, new requirements, and eligibility limits.