The president’s sweeping domestic policy achievement extends his expiring 2017 tax cuts, but could cause millions in the U.S. to lose their health coverage and food aid over the next decade.

Flanked by Republican legislators and members of his Cabinet, Trump signed the multitrillion-dollar legislation at a desk on the White House driveway, then banged down a gavel gifted to him by House Speaker Mike Johnson that was used during the bill’s final passage Thursday.

The Republican-controlled U.S. House of Representatives on Thursday advanced President Donald Trump's sweeping tax-cut and spending bill, a procedural step setting the stage for possible passage of the legislation in a vote expected later in the day.