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 GOP-backed One Big Beautiful Bill Act includes some big changes to the Supplemental Nutrition Assistance Program.

Early Thursday morning, the House of Representatives passed the One Big Beautiful Bill Act by one vote. The bill had been amended by the Rules Committee, and it now goes to the Senate for consideration.

The Republicans' "One, Big, Beautiful Bill" would hurt the finances of the lowest-income households while enriching the wealthiest ones, a new analysis found.

One provision strips all Medicaid and CHIP funding for gender-affirming care, including puberty blockers, hormone therapy, and surgeries, for trans people of any age. Another provision bans coverage for these services under the Affordable Care Act by excluding them from the definition of "essential health benefits."

President Trump met with holdouts again Wednesday as leaders ramp up their efforts to build support around the bill.

Proposed cuts in federal health care spending on Medicaid and the Affordable Care Act could force more than 250,000 Tennesseans to join the ranks of the uninsured, an analysis by the Kaiser Family Foundation found.

The Republican-backed tax and spending bill would add trillions of dollars to the federal deficit and negatively affect the poorest of Americans, experts say.