Washington D.C. – A new report released this week details how the Trump-GOP Big Ugly Bill’s $1 trillion cuts to Medicaid and the Affordable Care Act to bankroll wasteful tax breaks for billionaires and big corporations are just beginning to decimate the U.S. health care system – from mass health worker layoffs to shuttering rural hospitals. Nationwide, more than 700 hospitals, maternity wards, nursing homes, and other critical providers are at serious risk of cutting services or shutting down altogether. And U.S. Rep. Monica De La Cruz (R-TX-15) has shown no regret for helping make these devastating health cuts a reality.
The grave consequences of the Big Ugly Bill will be felt for years to come, but some of the worst provisions are just beginning to take effect. Premiums and out-of-pocket costs will skyrocket in Texas, and many will lose coverage altogether due to miles of red tape. Then, devastating cuts to Medicaid will begin to take effect, causing rural hospitals to shut down, seniors to be forced out of their nursing homes, and people fighting cancer or addiction to lose life-saving care. Taken together, these cuts will cause years of progress to be lost as the uninsured rate explodes to levels not seen in 15 years.
What Was It All For? With extra padding from the Trump-GOP tax scam, big corporations “may be on track to report the highest profits in more than 15 years” while they continue to price-gouge consumers. Inflation, driven in large part by corporate greed, is reportedly “ heating up again”, after “food, transport and housing saw some of the biggest price rises among common costs” in 2025.
“Rep. De La Cruz and Donald Trump gave us the largest health care cuts in history, and all they have to show for it is a bunch of billionaires and greedy corporations laughing to the bank while they keep nickel and diming us,” said Brad Woodhouse, President of Save My Care. “Billionaires are hoarding their tax giveaway while cash-strapped medical centers, clinics, hospital and maternity wards, and long-term care facilities are all losing critical resources to serve patients in real need. The $1 trillion Trump-GOP health cuts will now force more hospitals and nursing homes to cut services or shut down, kill jobs, leave more local and state economies to suffer, and cut off access to care for whole rural communities. So how is Rep. De La Cruz going to fix the predictable and historic health crisis she ushered in, another tax break for the likes of Elon Musk?”
WHAT TEXAS MUST NOW BRACE FOR UNDER THE TRUMP-GOP BIG UGLY LAW:
- An estimated 1,671,965 Texans will lose Medicaid or ACA coverage and become uninsured under Trump and Republicans’ bill, including:
- 539,000 older Texans
- 3,474,000 children
- The 0% of adult Texans on Medicaid who are working
- 677,000 Texans with disabilities
- 91% of Texas voters do not support cuts to Medicaid.
- Republicans created at least a $5.7 billion hole in the Texas state budget to pay for tax breaks for the wealthy and corporations.
- Republican cuts to Medicaid will result in 54,600 state jobs lost alongside a $5.4 billion loss in state economic output as well as a $9.27 billion state GDP loss.
- Republicans cut $52.6 billion in critical funding for Texas hospitals, leaving 16 hospitals statewide at risk of closure according to analysis from the University of North Carolina, and Families USA including:
- Anson General Hospital
- Ascension Seton Smithville
- Val Verde Regional Medical Center
- Falls Community Hospital and Clinic
- Covenant Hospital Plainview
- Scenic Mountain Medical Center
- El Campo Memorial Hospital
- Covenant Hospital Levelland
- North Runnels Hospital District
- Palacios Community Medical Center
- Haskell Memorial Hospital
- Mitchell County Hospital
- Tmc Bonham Hospital
- Mid Coast Medical Center-Central
- Baylor Scott & White – Marble Falls
- University Place Skilled Nursing Facility
When hospitals close, communities can lose a staggering number of jobs, both within and outside of the health care sector. The closure of one rural hospital can eliminate 220 jobs immediately.
- Republicans are also risking the closure of over a quarter of nursing homes, including 66 in Texas, according to Brown University:
- Palestine Healthcare Center
- Huntington Health Care & Rehabilitation Center
- Retama Manor Nursing Center/Jourdanton
- Colonial Belle Nursing Home
- Regency Manor Healthcare Center
- Tlc West Nursing and Rehabilitation
- San Jose Nursing Center
- Retama Manor Nursing Center/San Antonio West
- Southeast Nursing & Rehabilitation Center
- Wurzbach Nursing and Rehabilitation
- Reunion Plaza Senior Care and Rehabilitation Center
- The Medical Resort at Pearland
- Lake Jackson Healthcare Center
- Pittsburg Nursing Center
- Rose Haven Retreat
- Ralls Nursing Home
- The Meadows Health and Rehabilitation Center
- Garland Nursing and Rehabilitation
- Cedar Hill Healthcare Center
- Westridge Nursing and Rehabilitation
- Brentwood Place Two
- Brentwood Place One
- Paradigm at Stevens
- Sienna Nursing and Rehabilitation
- Mulberry Manor
- Rosenberg Health & Rehabilitation Center
- Enchanted Rock Skilled Nursing and Rehabilitation
- Longview Hill Nursing and Rehabilitation Center
- Hamilton Healthcare Center
- Park Manor of Humble
- Ashford Gardens
- Northwest Health and Rehabilitation Center
- Bridgecrest Rehabilitation Suites
- Arden Wood
- Oakmont Healthcare and Rehabilitation Center of Humble
- Focused Care at Westwood
- Brighton Senior Living of Katy
- Park Manor of Westchase
- Hays Nursing and Rehabilitation Center
- Mcallen Nursing Center
- Windsor Nursing and Rehabilitation Center of Mcall
- Birchwood of Beaumont
- Colonial Manor Nursing Center
- Homeplace Manor
- Riverview Nursing & Rehabilitation
- Whisperwood Nursing & Rehabilitation Center
- Bender Terrace of Lubbock
- Hansford County Hospital District
- Southern Specialty Rehab & Nursing
- Coral Nursing And Rehabilitation McGregor
- Country Meadows Nursing & Rehabilitation Center
- Landmark of Amarillo Rehabilitation and Nursing Center
- Bremond Nursing and Rehabilitation Center
- Mansfield Nursing & Rehabilitation Center
- River Oaks Health and Rehabilitation Center
- Birchwood of Grapevine
- Remarkable Healthcare of Dallas, LP
- Dfw Nursing & Rehab
- Caraday of Ft. Worth
- Coronado Nursing Center
- Arbor Terrace Healthcare Center
- Barton Valley Rehabilitation and Healthcare Center
- Focused Care of Gilmer
- Twin Pines Nursing and Rehabilitation
- Courtyard Gardens
- Wood Memorial Nursing and Rehabilitation Center
- A 45 year old individual making $62,000 in Texas will see coverage costs increase by $1,360 without extending premium tax credits.
- At the end of 2025, 69,310 jobs will be lost in Texas due to the expiration of ACA tax credits.
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