The changes made to President Donald Trump’s big tax bill in the Senate would pile trillions onto the nation’s debt load while resulting in even steeper losses in health care coverage, the nonpartisan Congressional Budget Office said in a new analysis,

The Senate is on the verge of advancing Trump’s priorities, dubbed the One Big Beautiful Bill. Here’s how it could change the federal government and the U.S. economy.

Economists have estimated that previous versions of the bill could add trillions to the national debt, but many haven’t had the chance to review the latest Senate version.