The newly passed bill extends previous tax cuts that primarily benefit high-income individuals, while introducing limited benefits for lower-income workers. At the same time, it enacts sweeping changes to Medicaid, including work requirements and stricter eligibility rules, which could lead to millions losing health coverage. The legislation also restructures federal funding for rural hospitals and delays controversial Medicaid cuts until after the midterm elections. Despite bipartisan concerns, especially from some Republicans worried about its impact on working-class voters, the bill is set to be signed into law, marking a pivotal shift in national policy.