Democrats have been blasting President Donald Trump’s tax-and-spending bill for months, but many Republicans have remained silent or have back their party’s leader.

Some expire at the end of Trump's term in office. Here is a look at when you'll start to see the impact of the bill: Though Trump campaigned on protecting Medicaid, the program that provides health care for low-income and elderly Americans is one of the largest federal programs targeted in the bill.

Republicans muscled President Donald Trump's tax and spending cut bill through the House on Thursday, the final step necessary to get the bill to his desk by the GOP's self-imposed deadline of July 4th.