Republicans in Congress finally settled on a massive legislative package aimed at realizing President Donald Trump’s domestic agenda, and it won’t come cheap. The bill the Senate and House of Representatives approved in July for Trump to sign into law cuts taxes by some $4.

Republicans are attempting to use the budget reconciliation process to boost President Donald Trump’s priorities and reduce health coverage. That process has been used to pass nearly every major piece of health legislation for decades — except usually lawmakers use it to expand health care,