The US House is preparing a final vote on President Donald Trump’s tax and spending bill after overnight talks to secure Republican support. Democrats, led by Hakeem Jeffries, slammed the nearly 900-page package as a gift to billionaires and a threat to Medicaid.

Advocates say the impact of potential Medicaid cuts will be felt from cities to rural areas and that it won't just take a toll on those enrolled in Medicaid, but staffing levels at hospitals as well.

The Senate stayed up all night to send Trump's "big, beautiful bill" back to the House for final passage. Here's what it looks like.