US President Donald Trump’s prized legislative package, the One Big Beautiful Bill Act, may have passed the House after months of internal party wrangling, but the path forward in the Senate remains anything but certain.

The reforms could impact millions by tightening eligibility, shifting program costs, and limiting future benefit increases.

Republicans’ mammoth budget reconciliation bill includes major changes to Medicaid, food stamps, student loans and more. It also permanently extends President Donald Trump’s 2017 tax cuts – at a cost of at least $3.