Republicans have set a self-imposed July 4 deadline to pass the legislation in both chambers and send it to Trump’s desk.

The bill would add so much money to the debt that Congress may be forced to execute cuts across the board, including hundreds of billions to Medicare, according to the nonpartisan Congressional Budget Office.

President Donald Trump on Tuesday morning turned up the heat on the more than a dozen House Republican holdout votes endangering passage of the bill.

Iowa’s Republican congressional delegation voted Thursday to advance a massive tax and spending cut bill championed by President Donald Trump. The bill would equate to a $3.7 trillion increase in the national debt,

House Republicans passed a multi-trillion-dollar tax and spending package in the early morning hours of Thursday that would slash federal spending and include cuts to Medicaid.

WASHINGTON (AP) — The multitrillion-dollar tax breaks package passed by House Republicans early Thursday would gut clean energy tax credits that Democrats approved three years ago while supporting increased mining, drilling and other traditional energy production.

Only a small number of people were enrolled in the state program, and administrative costs exceeded spending on medical care.

In their Big, Beautiful Bill, Republicans prohibited Medicaid funding for “gender-transition procedures” for adults and minors.