When reached by Newsweek, White House spokesperson Kush Desai said, "President Trump made a clear pledge: no cuts to Medicaid, Medicare, or Social Security. The One, Big, Beautiful only addresses waste, fraud, and abuse in Medicaid with commonsense reforms like popular work requirements and eligibility verification."

Covered California, the state's Affordable Care Act health insurance marketplace, estimates that up to 660,000 of the 2 million in the program will be stripped of coverage or drop out.

The passage of President Trump's signature tax cut bill shows how the health care industry's influence is waning.