America’s social safety net is poised to become thinner if the Republicans’ massive tax and spending bill crosses the finish line, at a time when low-income consumers are struggling and recession fears linger.

Senate Republicans restored major Medicaid cuts to Donald Trump’s signature economic legislation, re-fashioning a key provision to overcome a procedural obstacle.Spending cuts to the health insurance program for the poor and disabled partially offset revenue losses from tax cuts in the measure and are a crucial demand of GOP fiscal conservatives.