Big Ugly Bill Drives Deeper Cuts into Americans’ Health Care
December Report Confirms Harm to Hospitals, Patients, and Health Care Workers is Still on the Rise
Washington, D.C. – Senate Finance Committee Ranking Member Ron Wyden, D-Ore., and House Energy and Commerce Committee Ranking Member Frank Pallone Jr., D-N.J., today released their latest report exposing the Republican Big Ugly Bill for destabilizing the American health care system.
Trump and Republicans slashed more than $1 trillion from Medicaid and the Affordable Care Act (ACA), making care more expensive and harder to access for all Americans. According to the Congressional Budget Office, those draconian health care cuts will terminate health insurance for roughly 15 million Americans.
“Since Republicans passed the largest health care cuts in history, costs keep climbing, access keeps shrinking, and clinics keep closing,” Wyden said. “Trump and Republicans continue to lie about the harm felt from ramming through their Big Ugly Bill. As these cuts begin to threaten health providers and jobs across the nation, Democrats are sounding the alarm about the fact that communities are being pushed to the brink of losing lifeline care.
“The Big Ugly Bill will have devastating consequences for Americans for years to come,” Pallone said. “Republicans gave billionaires and big corporations giant tax breaks by taking health care away from millions of Americans, raising costs, and shuttering hospitals around the country. In Trump’s America, the rich get richer while most Americans struggle to get by.”
Despite Republicans lying to the American people about the harms of this law, Wyden and Pallone’s report spotlights the facts: hospitals are shutting down, services are being canceled, workers are being laid off, and prices are skyrocketing.
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Hospitals, clinics, and other essential services are closing their doors. Each day, patients are losing lifeline care because of Republicans’ disastrous actions, forcing hospitals, clinics, and other essential services, like maternity care, to shut down.
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Essential workers are taking pay cuts or losing their jobs altogether. Republicans are driving frontline workers out of a paycheck while their patients lose access to care.
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Americans are shouldering higher health care costs. Republicans failed to extend the ACA tax credits, causing millions of Americans to face skyrocketing health care premiums. Families are being forced to choose between paying higher out-of-pocket costs or forgoing the health care they need.
Wyden and Pallone led the opposition to Donald Trump and Republicans’ health care cuts. Last month, Wyden and Pallone demanded the Trump administration restore key measures of childhood health and well-being. In June 2025, Wyden and Pallone released the latest CBO estimates showing millions of people will become uninsured from the Republican health agenda. Late last year, Wyden and Pallone released a report outlining the impact of Republican health care policies on Americans' health care during the month of November.
The text of the latest report is here.
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