Derrick Van Orden (R-Wis.) says Republicans aren’t actually cutting anyone’s federal health or food benefits in President Donald Trump’s sweeping tax bill — a plan that slashes $1 trillion from Medicaid and food assistance programs.

And what will they mean for the millions of low-income people who might lose health care benefits as a result?

The prohibition abruptly expanded to include adults hours before the House passed the bill, escalating the crackdown on transgender care once focused on children.