Senate Republicans on Tuesday passed President Donald Trump’s sprawling tax and spending package, known as the “One Big Beautiful Bill,” paving the way for a major overhaul of the country’s Medicaid program. If passed by the House, which could happen before the July Fourth holiday, millions of people stand to lose their health insurance. That rate has held relatively steady over the past few years, with around 26 million people in the US currently without health insurance. Under the bill, adults would be required to work or volunteer 80 hours a month to qualify for enrollment. “This bill will be catastrophic for children with Medicaid,” she says.