Millions of Americans who get health insurance through Medicaid will face new hurdles after the House passed President Donald Trump's massive tax cut and spending bill, which includes deep cuts to nation's safety-net health insurance program.

Supporters of the sweeping tax and spending legislation that Congress has sent to President Donald Trump say the changes to Medicaid, food aid and other programs will encourage personal responsibility and halt those scamming the system.

The House has passed the massive tax and spending cuts package that President Donald Trump calls "beautiful," getting it to his desk a day before the July 4 deadline that he had set.