After weeks of deliberation, the Senate passed its version of the Trump tax bill on Tuesday. In the approved package, there are several major changes to Medicaid, which would lead to deeper spending cuts than the version passed by the House.

In a meeting with moderate Republicans, Trump highlighted three programs not to be cut if the GOP wanted to win elections between 2026 and 2028: Medicaid, Medicare and Social Security, according to NOTUS. Trump said the three areas should be “touched.”

“Mean and cruel” — that’s how U.S. Sen. Catherine Cortez Masto described Medicaid cuts in President Donald Trump’s budget bill after passage in the Senate. She gathered Nevada health care leaders and workers July 2 to talk about how the state would be affected.