Senate Republicans restored major Medicaid cuts to Donald Trump’s signature economic legislation, re-fashioning a key provision to overcome a procedural obstacle.Spending cuts to the health insurance program for the poor and disabled partially offset revenue losses from tax cuts in the measure and are a crucial demand of GOP fiscal conservatives.

The Senate Republican tax bill includes the biggest reduction for the federal safety net since at least the 1990s, targeting more than $1 trillion in social spending.

A sprawling budget bill in the US Senate could cut healthcare for nearly 12 million Americans and add nearly $3.3 trillion in new debt, according to new estimates.