The bill includes major changes to Medicaid, which has ballooned in both size and cost over the past decade. It tightens eligibility rules to exclude unauthorized immigrants and others who don’t qualify, a move projected to reduce Medicaid spending by $1 trillion over the next ten years.
In addition, the legislation allocates $46.5 billion to complete Trump’s long-standing 2016 campaign pledge to build a wall along the U.S.-Mexico border—a promise left unfinished during his first term.
