Some Democratic leaders and officials believe the combination of tax cuts and potential changes to some Americans' health care coverage could allow the party to recapture the anger and anti-Trump backlash that helped the party reclaim the House in 2018, after Republicans passed their tax package and repeatedly failed to repeal Obamacare.

A Republican Congressman sold a Medicaid-related stock before voting for President Donald Trump 's massive tax and spending package, which affects Medicaid.

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.