Measure would tighten eligibility for health and food programs for the poor and could add $3.8tn to US debt

The Republican-controlled US House of Representatives narrowly passed a sweeping tax and spending bill that would enact much of President Donald Trump’s policy agenda on Thursday and saddle the country with trillions of dollars in debt.

The bill would fulfill many of Trump’s populist campaign pledges, delivering new tax breaks on tips and car loans and boosting spending on the military and border enforcement. It will add about $3.8tn to the federal government’s $36.2tn in debt over the next decade, according to the nonpartisan Congressional Budget Office (CBO).