The House of Representatives passed the “one big, beautiful bill” Thursday morning, but not before the House Rules committee introduced

She had prepared for nearly two years for her facial feminization surgery, a series of surgical procedures. She met with surgeons, therapists and case managers at Amida Care, a nonprofit health plan for LGBTQ+ Medicaid recipients and those living with HIV.

President Trump's domestic policy bill, dubbed the One Big Beautiful Bill Act, was passed by the House of Representatives in a 215-214 vote early Thursday morning. The vote comes after days of negotiations among legislators.

More than 7 million people will lose Medicaid coverage over the next 10 years if the bill becomes law, according to the Congressional Budget Office.

House and Senate leaders are broadly aligned on the tax bill and have been meeting regularly to avoid points of conflict. But Senate Republicans made clear the compromise, a product of frenzied last-minute negotiations, must be negotiated again after it passed the House by a single vote on Thursday.

Millions of low-income Americans, including families with children, could lose their food stamp benefits under House Republicans’ newly passed tax and spending cuts package, according to a Congressional Budget Office analysis released Thursday.

The White House says the House GOP's tax cuts will usher in an economic boom. Top economists say the upside is negligible.