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US Republican Speaker of the House from Wisconsin Paul Ryan speaks to the media at his weekly press conference in the US Capitol in Washington, DC, USA, 16 February 2017. Ryan spoke about the US tax code, intelligence leaks, and repealing Obamacare. EPA/JIM LO SCALZO

Revisions offer more generous tax credits for older people, earlier repeal of tax increases on higher earners and hand Medicaid powers to states.