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    What’s in Trump’s major tax bill? Extended cuts, deportations and more

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    Senate Republicans on Tuesday passed Donald Trump’s massive tax and spending bill after spending all night voting on amendments. The bill, which the GOP has dubbed the One Big Beautiful Bill Act, now returns to the House of Representatives, which passed their version last month, before a Friday deadline the president has imposed for the legislation to be on his desk.Here’s what’s in the Senate’s version of the bill:Extending big tax cutsAfter taking office in 2017, Trump signed the Tax Cuts and Jobs Act, which lowered taxes and increased the standard deduction for all taxpayers, but generally benefited high earners more than most. Those provisions are set to expire after this year, but the “big, beautiful bill” makes them permanent, while increasing the standard deduction by $1,000 for individuals, $1,500 for heads of households and $2,000 for married couples, albeit only through 2028.Cutting tax on tips or overtimeThe bill has an array of new tax write-offs – but only while Trump is president. Several of the new exemptions stem from promises Trump made while campaigning last year. Taxpayers will be able to write off income from tips and overtime, and interest made on loans to purchase cars assembled in the United States. People aged 65 and over are eligible for an additional deduction of $6,000, provided their adjusted gross income does not exceed $75,000 for single filers or $150,000 for couples. But all of these incentives expire at the end of 2028, right before Trump’s term as president ends.Money for mass deportations and a border wallAs part of Trump’s plan to remove undocumented immigrants from the country, Immigration and Customs Enforcement (Ice) will receive $45bn for detention facilities, $14bn for deportation operations and billions of dollars more to hire an additional 10,000 new agents by 2029. More than $50bn is allocated for the construction of new border fortifications, which will probably include a wall along the border with Mexico.Slashing Medicaid and food stampsRepublicans have attempted to cut down on the bill’s cost by slashing two major federal safety-net programs: Medicaid, which provides healthcare to poor and disabled Americans, and the Supplemental Nutrition Assistance Program (Snap), which helps people afford groceries. Both are in for funding cuts, as well as new work requirements. The left-leaning Center on Budget and Policy Priorities estimates the Medicaid changes could cost as many as 10.6 million people their healthcare, and about eight million people, or one in five recipients, their Snap benefits.Cuts to green energyThe bill will phase out many tax incentives created by Congress during Joe Biden’s presidency meant to encourage consumers and businesses to use electric vehicles and other clean-energy technology. Credits for cleaner cars will end this year, as will subsidies for Americans seeking to upgrade their homes to cleaner or more energy-efficient appliances. While a draft of the bill targeted wind- and solar-energy projects with a new excise tax, senators voted to remove that at the last minute.State and local tax relief (Salt)One of the thorniest issues the bill addresses is how much relief to provide from state and local taxes (Salt), which many Americans must also pay in addition to their federal tax. Several House Republicans representing districts in Democratic-led states withheld their support from the bill until the Salt deductibility cap was raised from $10,000 to $40,000, but Senate Republicans made clear they would change that. The Senate’s version keeps the $40,000 cap, but only through 2028.Raising the debt ceilingThe bill will increase the US government’s authority to borrow, known as the debt limit, by $5tn. The US treasury secretary, Scott Bessent, has predicted the government will hit the limit by August, at which point it could default on its debt and spark a financial crisis.More benefits for the rich than the poorWealthier taxpayers appear set to receive more benefits from this bill than poorer ones, according to the Budget Lab at Yale University. Taxpayers in the lowest-income quintile will see a 2.5% decrease in their incomes, largely due to the Snap and Medicaid cuts, while the highest earners will see their incomes grow by 2.4%, the Budget Lab estimated. The impact could change based on which amendments the Senate adopts.A huge price tagDespite the GOP’s attempts to use the bill as a vehicle to rein in government spending, the bill would increase the deficit by $3.3tn through 2034, according to the non-partisan Congressional Budget Office. Most of that price tag is the extension of the 2017 tax cuts. The heavy budgetary impact could complicate the bill’s chances of passing the House, where fiscal hardliners have demanded budget-deficit reductions. More

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      Taking From the Poor and Giving to the Rich Is Not Populism

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      “I love the poorly educated,” President Trump declared during the 2016 campaign. His intense support for the “big, beautiful” $4.5 trillion tax-and-spending bill now before Congress shows that he has a unique way of demonstrating his affection.Republicans are on the verge of enacting Trump’s upwardly distributive fiscal policy measure, which has become an extreme test of the loyalty of his more downscale MAGA supporters, who not only oppose the bill but stand to bear the brunt of its negative consequences.In its current form, which is changing by the hour, the measure, known popularly as B.B.B., would provide the upper classes, including Trump’s allies and donor base — corporations and the rich — with tax cuts worth approximately $4.45 trillion over 10 years. The measure would offset the cost with the largest reductions in safety net programs in recent decades, if not all time, for those on the lower tiers of the income distribution.This pared-back social spending would adversely affect a large bloc of rural and exurban Republicans who played a crucial role in putting their party in control of the House and Senate, and Trump in the White House.“You can very safely say,” Bobby Kogan, senior director of federal budget policy at the liberal Center for American Progress, told The Washington Post, that “this is the biggest cut to programs for low-income Americans ever.”Many of the details of the legislation remain in flux as the Senate continues to vote on amendments. If the Senate approves the legislation, the House and the Senate will still have to come to agreement on a final version for the measure to become law.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump May Get His ‘Big Beautiful Bill,’ but the G.O.P. Will Pay a Price

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      And so will many voters.There will be many short- and long-term consequences if Republicans succeed in passing President Trump’s signature policy bill, as they aim to do before the July 4 holiday, David Leonhardt, the director of the Times editorial board, tells the national politics writer Michelle Cottle in this episode of “The Opinions.”Trump May Get His ‘Big Beautiful Bill,’ but the G.O.P. Will Pay a PriceAnd so will many voters.Below is a transcript of an episode of “The Opinions.” We recommend listening to it in its original form for the full effect. You can do so using the player above or on the NYT Audio App, Apple, Spotify, Amazon Music, YouTube, iHeartRadio or wherever you get your podcasts.The transcript has been lightly edited for length and clarity.Michelle Cottle: I’m Michelle Cottle and I cover national politics for Times Opinion. So with the July 4 weekend looming, I thought we’d talk about a different kind of fireworks: that is, President Trump’s “big, beautiful bill” and as always, I hope the air quotes there are audible for everybody.But that bill looks like it is on track for passage. From Medicaid cuts to tax breaks for the rich, it is a lot. Thankfully with me to talk about this is David Leonhardt, the fearless director of the New York Times editorial board, who has some very pointed thoughts on the matter. So let’s just get to it. David, welcome.David Leonhardt: Thank you, Michelle. It’s great to be talking with you.Cottle: I’m so excited, but warning to all: We are recording on Monday midday and even as we speak, the Senate is brawling its way through to a final vote. So the situation is fluid and could change the details by the time you all hear this.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Republican senator denounces Trump’s ‘big, beautiful bill’ in fiery speech

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      “It is inescapable this bill will betray the promise Donald Trump made,” Thom Tillis, the North Carolina Republican senator, said on Sunday night, sandblasting the Senate version of the “big, beautiful bill” that is meant to codify the president’s agenda.Tillis made his speech on the Senate floor on Sunday night, a few hours after announcing he would not seek re-election in politically competitive North Carolina. Observers described it as “fiery” and “savage”. But Tillis carefully avoided direct criticism of the president as he denounced proposed cuts to Medicaid, a lack of rigor in the legislative process and the Senate’s headlong drive to an artificial deadline.Instead, in one of the most forceful Republican denunciations of the bill, Tillis attacked “amateurs” advising the president who have “no insight into how these provider tax cuts are going to be absorbed without harming people on Medicare”.Tillis’s office published an analysis concluding that the Senate budget would have a $32bn impact on the North Carolina healthcare system and threaten insurance coverage for 663,000 Medicaid expansion beneficiaries in the state – about one in 16 North Carolinians.“What do I tell 663,000 people in two years or three years, when President Trump breaks his promise by pushing them off of Medicaid because the funding’s not there any more, guys?” Tillis said in his floor speech.It has become increasingly difficult for lawmakers in the Republican party to break ranks with the president without facing withering blowback from conservative media, “Maga” diehards and Trump himself on social media.“Tillis is a talker and complainer, NOT A DOER! He’s even worse than Rand ‘Fauci’ Paul!” Trump posted on Truth Social after announcing his opposition to the bill. Trump pledged to back a primary challenger to Tillis. When Tillis subsequently announced he would not seek re-election, Trump called it “good news”, and threatened primary challenges against other Republican fiscal conservatives standing in the way of the bill’s passage.Arguments critical of conservative doctrine on healthcare would fall on deaf ears. Instead, Tillis’s rhetoric emphasized the political threat to Republican lawmakers and the president himself if the bill passed in its current form.“I’m telling the president that you have been misinformed,” he said. “You supporting the Senate mark will hurt people who are eligible and qualified for Medicaid.”Tillis referred back to Trump’s promise not to cut Medicaid while campaigning for president.skip past newsletter promotionafter newsletter promotion“The last time I saw a promise broken around healthcare, with respect to my friends on the other side of the aisle, is when somebody said “If you like your healthcare, you could keep it. If you like your doctor, you could keep it,” Tillis said. “We found out that wasn’t true. That made me the second Republican speaker of the House since the civil war.”Tillis signaled he would be willing to support the House version of the reconciliation bill.The procedural vote passed 51-49 Sunday. Budget reconciliation bills are not subject to cloture and the 60-vote threshold limiting debate. Trump has repeatedly pushed a 4 July deadline for passage. More

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      Senate Bill Would Make Deep Cuts to Medicaid, Setting Up Fight With House

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      The proposal would salvage some clean-energy tax credits and phase out others more slowly, making up some of the cost by imposing deeper cuts to Medicaid than the House-passed bill would.Senate Republicans on Monday released legislation that would cut Medicaid far more aggressively than would the House-passed bill to deliver President Trump’s domestic agenda, while also salvaging or slowing the elimination of some clean-energy tax credits, setting up a fight over their party’s marquee policy package.The measure, released by the Senate Finance Committee, contains the core provisions of that chamber’s version of the legislation that Republicans muscled through the House last month and are hoping to speed through the Senate and deliver to Mr. Trump’s desk by July 4. But its differences with that bill are substantial and are all but certain to complicate the measure’s path to enactment, casting doubt on that timetable.Most notably, the proposal would take a slower and less sweeping approach to phasing out clean-energy tax credits created during the Biden administration, and cover part of the cost of doing so by imposing deeper and more expansive cuts to Medicaid.While the House measure would add a new work requirement to Medicaid for childless adults, the Senate proposal would expand its application to the parents of older children. It also would crack down even harder than the House bill on strategies that many states have developed to tax medical providers and pay them higher prices for Medicaid services.In making the case for the bill, Republicans focused on another, far more politically popular element of the measure: its extension of tax cuts that were enacted in 2017 and are set to expire at the end of the year.A $7,500 tax credit for buyers of electric cars would phase out immediately within 180 days of the bill passing into law.Lauren Justice for The New York TimesWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump’s ‘big, beautiful’ bill is built on falsehoods about low-income families | Brigid Schulte and Haley Swenson

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      As they race to deliver Donald Trump’s “big, beautiful” tax bill, Republicans in Congress are using familiar tropes to justify massive cuts to the safety net that will leave millions of low-income children and families without healthcare or sufficient food. The programs, they argue, are rife with waste, fraud and abuse, and the people who use them just aren’t working hard enough. So work requirements are necessary to force the obviously lazy “able-bodied” people to get to work.Here’s the reality check: a majority of those receiving this aid who can work are already working. More than 70% of working-age people who receive nutrition benefits or Medicaid, the health insurance program for low-income children and adults that covers one in five Americans, are already working, according to the Government Accountability Office. Those who aren’t working, research shows, are mostly ill, disabled, caring for a family member, or in school.Take the story of Ruaa Sabek. When the Covid pandemic hit in 2020, she and her husband worked at a fast-food restaurant in Philadelphia. Both their hours were cut, but they didn’t qualify for unemployment benefits because they remained employed. With two young children at home, their carefully managed budget began to crumble under rising prices and reduced incomes.What saved them wasn’t extraordinary luck or family wealth. It was the streamlined and expanded government support programs that turned what economists predicted would be a financial apocalypse into a springboard toward financial stability for some families.One analysis of Medicaid work requirements by KKF, a health policy research organization, found that most working people with low enough incomes to qualify for Medicaid typically work for small companies or in sectors, like agriculture, that don’t offer employer-sponsored health insurance, or the rates are unaffordable. In other words, their jobs don’t pay them enough to afford basics, don’t offer benefits, and they have no other choice but Medicaid.There’s no doubt that safety net programs like Medicaid could be improved. They’re rife not so much with waste, fraud and abuse, as conservative lawmakers say – though there is some – but confusing red tape; disincentives to upward mobility, because benefits cut off sharply as soon as incomes start to rise; and cumbersome, punitive rules designed to dissuade people from applying for benefits in the first place.Fueling the Republican drive to slash public benefits is a long-held belief among many conservatives that the reason most people live in poverty is because they don’t work, or don’t work hard enough, and are instead lazing about, dependent on government largesse, and robbing Americans of their hard-earned tax dollars.That view features prominently in Project 2025, the playbook for the Trump administration authored by the conservative Heritage Foundation. The foreword reads: “Low-income communities are drowning in addiction and government dependence.”And it was clearly on display in recent House congressional hearings on how to slash $1.5 trillion from the federal budget in order to pay for extending Trump’s 2017 tax cuts. “That little gravy train is getting ready to run out,” one Republican lawmaker said of federal safety net programs like Medicaid and food and nutrition aid for people living in poverty. “The spigot is getting ready to be turned off.” The billionaire Elon Musk, charged with cutting federal spending, has even posted a meme calling people who rely on federal spending the “Parasite Class”.Here’s another reality check: Three in 10 Americans, more than 99 million people, rely on some form of federal aid to live. That includes nearly half of all children in the United States. Another 52 million households, 41% of all US households, make too much to qualify for public safety net benefits but still not enough to survive. Nearly 40% of Americans would struggle to cover a $400 emergency expense.There is a problem with making policy decisions based on the unfounded belief that poverty is about people with bad moral character making bad choices, or on debunked racial tropes of undeserving “welfare queens.” (In fact, white people make up the largest group receiving public food and healthcare aid.) Shaping policy around false stereotypes, rather than the complex reality, prevents policymakers from working together on real solutions.In fact, if you talk to people living in poverty, what they say they want tracks nearly exactly with what Project 2025 aims to foster: “empowering individuals to achieve economic independence.”“If I earn good money, I’m not going to be looking for benefits. I’ll take care of my bills,” said Blessing Aghayedo, a licensed practical nurse in Minnesota. Instead, she earns barely more than the federal minimum wage, which has been stuck at $7.25 an hour since 2009.Breathing roomIn the Sabeks’ case during the pandemic, expanded Medicaid and enhanced nutrition benefits helped weather health emergencies and soaring grocery prices. Rental assistance prevented them from losing their housing when they fell behind on payments. Stimulus checks and the expanded monthly child tax credit provided crucial cash that covered essential expenses like milk, diapers, children’s clothing, utility bills, and car repairs when they needed a new transmission.Perhaps most significantly, public subsidies for childcare and the Head Start program reduced their childcare expenses from an overwhelming $1,300 per month to $120, enabling Ruaa Sabek to continue working part time and enroll in a banking training program. “I feel like, ‘Oh my God, peace of mind,’” she said of the breathing room the public benefits gave her and her family. As a result, she landed a full-time position in 2023 as a personal banker that pays $45,000 annually with benefits – a dramatic improvement from her previous part-time $12-an-hour cashier job with irregular hours and no benefits.The family is now thriving without public assistance, aligning with decades of research. “You can’t actually figure out how to get to flourishing until you’re in a stable and secure situation,” said Megan Curran, director of policy at the Center on Poverty and Society Policy at Columbia.Research shows that when families have a stable foundation, they are healthier and live longer. Adults are more likely to keep working, and children are more likely to stay in school, graduate, get better jobs, and pay taxes as adults. Even babies’ brain development is improved.And the stability pays for itself: the Child Tax Credit, for instance, returns $10 for every $1 spent every year. The United States remains the only wealthy country with no national paid maternity leave, yet the return on investment for paid family leave is 20:1. For childcare, it’s 8:1.Meanwhile, rather than saving taxpayers a ton of money, as Musk promised, slashing safety-net support ignores the real problem that keeps families from economic independence: 44% of the workforce in the United States, the wealthiest country on earth as measured by GDP, is low-wage, a share far higher than in many economic peer countries.Squeezing families already struggling financially could increase the share of those already waking up hungry, homeless, or worried they soon might be. The United States already has one of the highest rates of child poverty among wealthy countries. The National Academies of Sciences, Engineering and Medicine estimates that high poverty rate costs as much as $1tn a year in lost adult productivity, increased crime and poor health.Childcare is keyIf lawmakers are serious about adding work requirements for safety net programs, then ensuring families have access to affordable childcare is critical. Compared with other advanced economies, the United States invests the least in childcare. That means childcare costs are second only to mortgage or rent for most families who have to pay out of pocket. And federal childcare subsidies for low-income parents come nowhere close to covering those eligible.The lack of affordable childcare sent Kiarica Schields, a college-educated hospice nurse and single parent in Georgia, spiraling into a cycle of joblessness, eviction, instability, and poverty. “Childcare. That’s my issue,” she said.Trump has said he wants families to have more children. Yet surveys show that young people aren’t having children, or having as many as they’d like, because they can’t afford childcare.Kel, a divorced parent of four, wants lawmakers to think of public benefits for families like hers as a short-term investment with long-term benefits. Kel, who asked not to use her last name, fled an abusive marriage, struggles to pay bills, though she works as much as she can, and relies on Medicaid for life-saving physical and mental health treatments for her and her children. “Lifting me and people like me up will have a cascading effect on so many lives in a positive way,” she said. “We will give back to our communities tenfold, a hundredfold. It’s worth that investment in us. We’re a really good investment.”

      Brigid Schulte is the director of New America’s work-family justice program, Better Life Lab, a Pulitzer Prize winning journalist, and the author of Over Work: Transforming the Daily Grind in the Quest for a Better Life and the New York Times bestselling Overwhelmed: Work, Love and Play when No One has the Time. Haley Swenson is a research and writing fellow for the Better Life Lab More

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      ‘This isn’t just about Trump’: the Rev William Barber arrested after prayer-protest against Republican-led budget

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      A police officer’s sense of timing seemed to illuminate the Rev William Barber’s moral mission with startling clarity.During a prayer vigil on Monday in the Capitol Rotunda, close to the very heart of US democracy, Barber was lamenting that Congress starts each day with its own prayers to the Almighty even while preying on the poor. A Capitol police captain, John Hersch, serendipitously choose that very moment to intervene.“Your activity right now is taking the form of a demonstration,” Hersch told Barber and an accompanying gathering of clergy. “It is unlawful to demonstrate in the Capitol Rotunda. If you do not cease your demonstration at this time, there is a possibility you will be placed under arrest.”Moments later, after two further warnings, Barber and seven accomplices – standing in front of the portrait of three 19th-century women’s suffrage campaigners – were arrested as police sealed off the Rotunda.The arrests marked the climax of the latest Moral Monday protest organised by Repairers of the Breach, a group founded by Barber that’s trying to derail Donald Trump’s planned tax and spending bill on the grounds that it will slash vital health and social services to lower-income Americans.It was the third Moral Monday Barber had led at the Capitol since April – and the third time he and his cohorts had been arrested.Barber, a social activist and founding director of Yale Divinity School’s centre for public theology, had earlier led a rally outside the US supreme court attended by an estimated 2,000 protesters.As a band belted out gospel songs, demonstrators held signs with slogans such as “Slashing the safety net is moral murder” and “Don’t cut Snap for 40 million poor people.”Wearing a white robe emblazoned with the words “Jesus was a poor man,” Barber – the son of civil rights workers who campaigned for racial desegregation – enjoined demonstrators to crusade against legislation that the US president has termed his “big, beautiful bill” and deemed essential to extending his 2017 tax cuts, which are due to expire this year.The Republican-controlled House of Representatives passed the bill last month by a single vote, 215 to 214. It now goes forward to the Senate against a chorus of criticism over its potential impact on the most vulnerable.Passage would result in 13.7 million people losing access to Medicaid and health insurance, Barber said.“This bill represents the worst kind of evil, which is the love of money … the root of all evil,” he said “This isn’t just about Trump. Two hundred and fifteen Republicans in the House voted for this bill – and now every senator is going to decide whether they’re going to vote for the ‘we’re all going to just die’ approach to politics.”Barber was referring to remarks by Joni Ernst, a Republican senator for Iowa, who faced criticism for telling a town hall last week that “we’re all going to die” after a constituent warned that health cuts could result in some people dying.Ernst doubled down by issuing a mock “apology” filmed in a cemetery, saying: “For those that would like to see eternal and everlasting life, I encourage you to embrace my lord and saviour, Jesus Christ.”Barber compared Ernst’s rhetoric with justifications used by slaveowners.“That’s the same language that slave masters used to tell slaves,” he said in an interview. “They would say: ‘Don’t fight for freedom, but believe in Jesus so that in the eternal life …’“It’s so cynical. What she said was one of the most contradictory misinterpretations of faith I’ve ever heard. It’s theological malpractice.“As Dr [Martin Luther] King once said, we’re not talking about over yonder. We’re talking about over here and people need healthcare over here. People need food over here. For her to bring up religion and bring up Jesus – if Jesus did anything, he provided everybody he met free healthcare. He never charged a leper, or a sick person, or a blind person, for their healing.”The Moral Monday protests have been adapted from similar demonstrations Barber started in North Carolina in 2013, following the election of rightwing Republican Pat McCrory as governor. The protests lasted two years, recalled Barber, resulting in thousands of arrests for civil disobedience but also spurring thousands more to register to vote.As protests against Trump ramp up, Barber is vowing to make Moral Mondays a regular feature of the landscape of dissent.“Moral Monday is not a one-time event,” he said. “If this budget passes the way it is, it will have a negative impact on this country for 10 years. It could possibly not be fully reversed for up to 50 to 60 years. This is serious business.”The protests are likely to expand to encompass a broader pro-democracy agenda. “Our role is not just the budget passing or not passing, but mobilizing poor and low-wage folk. We stand against any attacks on voting rights, on public education, [or] on healthcare,” said Barber.“Poor and low-wage people now represent 30% of the electorate in this country, and in battleground states, over 40%,” he said, making them the largest potential expansion for voting power in the country.In an acknowledgment of Moral Monday’s growing significance, this week’s rally was addressed by Ezra Levin, co-executive director of the progressive Indivisible movement, which spearheaded nationwide Hands Off protests in April that drew millions of participants.Levin praised protesters for having the courage to overcome fear.“People see us organized, and they say, wow, you are fearless,” he said. “Oh no. If you are fearless in this moment, you’re not paying attention. The authoritarians over there, they’re taking over our democracy.”But congressional Republicans, too, felt fear, he said. “They are projecting strength right now. They’re acting as if this is inevitable. They’re acting as if they have the power, you know, passing a bill through the House in the middle of night. [But] that’s not strength, pushing it through before the public can comment on it“The truth is, they’re terrified. They are terrified their voters are going to see what they’re doing. They’re terrified they’re going to lose their majority. And you know what? They should be terrified.” More

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      Republican senator criticized for mock apology after saying ‘we all are going to die’

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      Senator Joni Ernst triggered fierce criticism after making light of voters’ fears that Republican Medicaid cuts could prove fatal, telling a town hall audience “we all are going to die” and then filming a mocking response video over the weekend.The Iowa Republican, who is facing a possibly challenging re-election battle in 2026, was explaining at a Friday town hall how the Republican immigration and tax package would affect Medicaid eligibility when an audience member shouted that people could die if they lost coverage through the proposed cuts.“Well, we all are going to die,” Ernst responded as the crowd groaned. “So, for heaven’s sakes. For heaven’s sakes, folks.”Rather than clarify or apologize, Ernst channeled Trump-era defiance in her response on Saturday with an Instagram video that appeared to be filmed in a graveyard.“I made an incorrect assumption that everyone in the auditorium understood that, yes, we are all going to perish from this earth,” she said. “So I apologize, and I’m really, really glad that I did not have to bring up the subject of the tooth fairy as well.”She concluded by telling viewers: “For those that would like to see eternal and everlasting life, I encourage you to embrace my Lord and savior Jesus Christ.”The controversy comes as Senate Republicans prepare to tackle the so-called “One Big Beautiful Bill”, which passed the House and would slash social safety net spending by more than $1tn over a decade. Congressional Budget Office projections suggest the measure could strip Medicaid coverage from 8.7 million people and leave 7.6 million more Americans uninsured.On Monday afternoon, the White House defended the legislation with a “mythbuster” statement dismissing claims that the bill would cause deaths as “one of Democrats’ most disgusting lies”.The White House argued the bill would actually “strengthen and protect the social safety net” by removing what it claimed were 1.4 million undocumented people from Medicaid rolls and implementing work requirements for able-bodied adults.“By removing at least 1.4 million illegal immigrants from the program, ending taxpayer-funded gender mutilation surgeries for minors, and eliminating waste, fraud, and abuse, the One Big Beautiful Bill will ensure Medicaid better serves the American people,” the statement read.Senate Republicans acknowledge the House-passed bill will undergo significant revisions, with several Republican senators seeking changes to the Medicaid provisions. Ernst’s comments have also provided Democrats with potent ammunition for their argument that Republicans prioritize tax cuts for wealthy Americans over healthcare for ordinary citizens.Iowa Democratic state senator JD Scholten told Politico on Monday he is launching a campaign to unseat Ernst, saying the senator “disrespected” its residents.The Democratic National Committee chairperson, Ken Martin, said Ernst had “said the quiet part out loud”, arguing Republicans don’t care “whether their own constituents live or die as long as the richest few get richer”.Senator Chris Murphy of Connecticut told CNN on Sunday that the Republican bill “is about life and death”.skip past newsletter promotionafter newsletter promotion“Everybody in that audience knows that they’re going to die. They would just rather die in old age, at 85 or 90, instead of dying at 40,” Murphy said. “And the reality is that, when you lose your healthcare, you are much more at risk of early death.”In Iowa, the stakes are notably high, with roughly one in five residents relying on Medicaid coverage, including half of all nursing home residents, according to the Kaiser Family Foundation.Ernst attempted damage control during Friday’s town hall, insisting Republicans would “focus on those that are most vulnerable” and protect people who meet Medicaid eligibility requirements.The senator faces several primary challengers as she seeks a third term, with the Medicaid controversy potentially complicating her political positioning in a state where healthcare access remains a key voter concern. In December, she was attacked from her right flank for being a “Rino” after initially hesitating on confirming the secretary of defense, Pete Hegseth.When asked for comment, her office stayed the path.“There’s only two certainties in life: death and taxes,” a spokesperson for Ernst said, “and she’s working to ease the burden of both by fighting to keep more of Iowans’ hard-earned tax dollars in their own pockets and ensuring their benefits are protected from waste, fraud and abuse.” More

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      Texas Doctor Who Filed $118 Million in Fraudulent Medical Claims Gets 10 Years in Prison

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      Jorge Zamora-Quezada falsely diagnosed patients with a chronic disease and subjected them to unnecessary treatments to help fund his lavish lifestyle, officials said.For nearly 20 years, a Texas doctor falsely diagnosed patients as having a chronic disease, administered unnecessary, toxic treatments and filed more than $118 million in fraudulent health insurance claims to fund his lavish lifestyle, which included a private jet, luxury cars and high-end properties, prosecutors said.The doctor, Jorge Zamora-Quezada, 68, of Mission, Texas, was sentenced to 10 years in prison this week, according to the Justice Department.From 2000 to 2018, he falsely diagnosed patients with rheumatoid arthritis and administered dangerous, medically unnecessary treatments to defraud federal and private health insurance companies, the Justice Department said.Rheumatoid arthritis is a chronic disease that causes a person’s immune system to attack healthy tissue. Some of Mr. Zamora-Quezada’s patients were as young as 13, the Justice Department said.Mr. Zamora-Quezada’s medical license was canceled in 2021, according to Texas Medical Board records.His scheme funded what prosecutors described in court documents as his “lavish and opulent lifestyle,” with properties across the United States and Mexico, as well as a private jet and a Maserati that he used to travel between his offices in the Rio Grande Valley and San Antonio.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More