The Republican megabill combined with new federal rules tightening eligibility will affect most people who use plans created by the Affordable Care Act.

The bill, which the Senate passed Tuesday, would reverse many of the health coverage gains of the Biden and Obama administrations, whose policies made it easier for millions of people to access health care and reduced the U.

House and Senate Republicans have now passed a bill that will raise families’ food and health care costs, increase poverty and hunger, take health coverage away from millions of people, and drive up deficits — all to give costly tax cuts to the wealthy and corporations.