Jennifer Balkcom: The One Big Beautiful Bill Enacted The Largest Cuts To Medicaid In History, Slashing Local Hospital Revenue, And Was Projected To Kick Nearly 39,000 People In NC-11 Off Their Health Insurance
The One Big Beautiful Bill Made The Largest Cuts To Medicaid In The Program’s History
The Hill: Republicans Passed “The Largest Cuts To Medicaid Since The Program Began In The 1960s.” “Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade. The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill, 7/1/25]
- The Hill: The Republicans’ Reconciliation Bill Made About $1 Trillion In Cuts To Medicaid. “Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade. The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill, 7/1/25]
The One Big Beautiful Bill Was Estimated To Kick Nearly 39,000 People In NC-11 Off Their Health Insurance
September 2025: The Joint Economic Committee Minority Estimated Nearly 39,000 People In North Carolina’s 11th Congressional District Would Lose Health Insurance By 2034 Due To Congressional Republicans’ Cuts To Medicaid And The ACA. “According to the nonpartisan Congressional Budget Office (CBO)’s most recent analysis, President Trump and Congressional Republicans’ cuts to Medicaid and the Affordable Care Act (ACA) would result in 16 million people losing their health insurance by 2034. Using CBO’s analysis released June 4 and other research, the Joint Economic Committee – Minority calculated new estimates of the number of people who would lose health insurance.” [Joint Economic Committee Minority, Press Release, September 2025]
NC-11: Health Insurance Losses From Cuts To Medicaid And The Affordable Care Act Under The One Big Beautiful Bill | ||
|---|---|---|
Est. Number of People Losing Affordable Care Act Coverage | Est. Number of People Losing Medicaid Coverage | Est. Total Number of People Losing Insurance |
20,200 | 18,757 | 38,957 |
[Joint Economic Committee Minority, Press Release, September 2025]
KFF: “CBO Estimates Show That The Number Of Uninsured People Will Increase By More Than 14 Million In 2034.” [KFF, 8/20/25]
Rolling Stone Headline: “Congress Officially Passes Trump’s Bill To Kick Millions Off Medicaid.” [Rolling Stone, 7/3/25]
The One Big Beautiful Bill Was Projected To Cut More Than $36 Million In Revenue To Hospitals In NC-11
Under The One Big Beautiful Bill, Hospitals In NC-11 Were Projected To Lose More Than $36 Million As A Result Of Medicaid Cuts. [Third Way, GOP Medicaid Cuts Will Decimate Hospitals Nationwide, 7/8/25]
Projected Cuts To NC-11 Hospital Revenue From Medicaid Cuts In The One Big Beautiful Bill | ||
|---|---|---|
Hospital | City | Projected Cut To Hospital Revenue |
Mission Hospital Inc. | Asheville | $24,803,858.00 |
AdventHealth Hendersonville | Hendersonville | $2,739,351.00 |
Harris Regional Hospital | Sylva | $2,348,992.00 |
The McDowell Hospital | Marion | $1,535,303.00 |
Margaret R. Pardee Memorial Hospital | Hendersonville | $976,071.00 |
Blue Ridge Regional Hospital | Spruce Pine | $955,098.00 |
MH Angel Medical Center LLLP | Franklin | $865,978.00 |
Transylvania Community Hospital | Brevard | $719,514.00 |
Haywood Regional Medical Center | Clyde | $623,442.00 |
Swain County Hospital | Bryson City | $392,421.00 |
Murphy Medical Center | Murphy | $274,002.00 |
Highlands Cashiers Hospital | Highlands | $108,627.00 |
Charles A. Cannon Memorial Hospital | Linville | $45,751.00 |
Total: | $36,388,408.00 | |
[Third Way, GOP Medicaid Cuts Will Decimate Hospitals Nationwide, 7/8/25]
July 2025: News & Observer: In North Carolina, Hospitals Absorbed 70% Of The Medicaid Cuts Under The One Big Beautiful Bill. “Republican state leaders have backed the federal spending bill, known as the One Big Beautiful Bill. Congressional Republicans in North Carolina also supported it, with the exception of U.S. Sen. Thom Tillis — who is not seeking re-election — and who criticized its Medicaid cuts and voted against the spending bill. […] Key changes include new federal work requirements for Medicaid expansion recipients, restrictions on provider taxes that fund expansion, elimination of an over $6 billion hospital payment program, and new state obligations to contribute to food assistance programs. These pieces do not all take effect at once, with varying enactment dates. DHHS estimates all these changes could translate to a $50 billion loss in Medicaid funding for North Carolina over 10 years, with hospitals absorbing over 70% of the cuts, according to a forecast dated July 9 provided by DHHS. A new $50 billion rural health fund is included in the federal bill, but how much North Carolina would receive remains unknown.” [News & Observer, 7/22/25]
The Reconciliation Bill’s Cuts To Medicaid Would Particularly Impact Rural Communities
NBC Headline: “Rural Communities Brace For Medicaid Cuts In Republicans’ Big Bill.” [NBC, 6/25/25]
The Big Beautiful Bill Act Would Result In 1.8 Million Individuals In Rural Communities Losing Their Medicaid Coverage. “Medicaid, which covers over 16 million people in rural communities, helps address barriers to health care and sustain rural hospitals. But many in Congress are considering Medicaid cuts that would have a devastating impact on rural hospitals and patients. The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.” [American Hospital Association, 6/16/25]