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The legislation extends $4.5 trillion in tax breaks that were part of a bill signed by Trump in 2017. There are some changes, though, including deductions for overtime pay and tips. Seniors would also receive a $6,000 deduction if their incomes are below $75,000 annually.

The bill is funded, in part, with $1.2 trillion in cuts to Medicaid and the Supplemental Nutrition Assistance Program. Many of the cuts would be achieved through work requirements — adults who receive coverage and aren't eligible for an exemption must work at least 80 hours a month. State-level eligibility checks would be completed every six months instead of once a year.

According to a Congressional Budget Office estimate, nearly 12 million more people will be uninsured by 2034 due to cuts to Medicaid and funding for the Affordable Care Act's health insurance marketplace. In New York, Gov. Kathy Hochul says the cuts could threaten health insurance coverage for 1.5 million residents.

Beyond changes to social programs, there is $170 billion for Trump's immigration crackdown and $150 billion in defense spending. The legislation will phase out green energy tax credits that were established under former President Joe Biden.

The vote

The House passed the bill on Thursday, meeting Trump's goal of passage by July 4. Republicans, with the exception of two members, were unified in voting for the president's policy bill. Democrats opposed the measure.

It was the second time the House voted on a version of the legislation. The House's bill passed on May 22 and was sent to the Senate, which amended the legislation and approved it on Tuesday. It was sent back to the House for consideration.

Despite some Republicans expressing various concerns about the Senate's changes, nearly all wound up voting for the bill.

There was a delay before the House voted on the bill. House Democratic Leader Hakeem Jeffries, a New Yorker, took advantage of the "magic minute" — a privilege offered to the chamber's leaders — to speak for more than eight hours.

After Jeffries ended his remarks, the House passed what will likely be Trump's signature legislative achievement.

Cayuga County's representatives

U.S. Rep. Claudia Tenney, a Republican who represents towns in the northern half of Cayuga County, hailed passage of Trump's "big beautiful bill." She said it will lock in the Trump tax cuts, which she supported in 2017, and provide tax incentives for farms and small businesses.

Tenney, R-Cleveland, also highlighted the immigration-related provisions and said the bill will "unleash American energy."

"The One Big Beautiful Bill restores economic freedom, strengthens our national security and puts hardworking Americans first," she added. "This is a major victory for the American people and a significant step in restoring prosperity, security and strength for all Americans across our great nation."

U.S. Rep. John Mannion, whose district includes the city of Auburn and towns in the southern part of Cayuga County, voted against the legislation. He blasted the bill as "one of the largest transfers of wealth in American history — from working families, seniors and children to billionaires and the powerful."

Mannion, D-Geddes, is concerned about how the bill will affect nearly 250,000 constituents who receive Medicaid benefits and 127,000 others who are enrolled in SNAP. He is also worried about the impact on hospitals in his district.

The legislation also strips $30 million to develop a neighborhood near the Interstate 81 project in Syracuse. Mannion said he will fight to restore the funding.

"The American people didn't vote for this," he continued. "They didn't vote to raise health care costs, defund the future or bury the next generation in debt. I voted no because New Yorkers deserve better. And I'll keep working to deliver government policies that reflect our values, protect the vulnerable and invest in a stronger, more honest future for all of us."