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IMPACT OF THE
BIG UGLY BILL and DOGE

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Tracking the Impact of the Republican Budget Bill (Passed July 3rd) as well as what the Trump administration has done to the cuts of the federal government.
This page is dedicated to providing accurate, up-to-date information on the effects of the Republican budget bill passed on July 3rd. As the consequences of this legislation unfold, we will continue to expand this page with verified reports and data reflecting its real-world impact.

SNAP CUTS 
Supplemental Nutrition Assistance Program (SNAP)

Statement: Northern Illinois Food Bank responds to Senate approval of bill cutting SNAP 

Congress passed the “Big Beautiful Bill Act,” which includes nearly $200 billion in cuts to the Supplemental Nutrition Assistance Program (SNAP). These cuts implemented through increased work requirements, cost-shifting to states, and limits on benefit adjustments, will significantly reduce access to food assistance and increase demand on charitable food systems already stretched thin. For Illinois alone, the cost burden could exceed $1.2 billion annually. 

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Northern Illinois Food Bank is disappointed by this development. History shows that when SNAP benefits are reduced, demand at our Food Bank can soar by as many as 60,000 to 80,000 additional neighbors each month seeking food assistance.   Compounding the issue, our Food Bank expects a 40% drop in federal food and funding, creating a $3–$4 million gap. 

TRACKING HEALTH CARE PROVISIONS IN THE LAW

On July 3, the House passed the same version of the budget reconciliation bill passed by the Senate on July 1. On July 4, President Trump signed the legislation into law. This summary describes the health care provisions in the law (described as the Senate-passed bill) in four categories: Medicaid, the Affordable Care Act, Medicare and Health Savings Accounts (HSAs). It also compares the provisions to a earlier draft of the bill passed by the House on May 22.  From KFF. 

MEDICAID CUTS

RURAL HOSPITALS 

Nine rural Illinois hospitals are at risk to closing.  A rural hospital is labeled as at risk when it meets one or both of two criteria, according to the documents: the hospital is in the top 10% Medicaid payer mix of rural hospitals across the country, and that the hospital has experienced three consecutive years of negative total margin.  About one in four Illinoisans are covered by Medicaid.

What hospitals are at-risk in Illinois?

Here are the nine hospitals deemed at-risk in Illinois:

  • Katherine Shaw Bethea Hospital, Dixon

  • OSF Sacred Heart Medical Center, Danville

  • Richland Memorial Hospital, Olney

  • Harrisburg Medical Center Inc., Harrisburg

  • Hoopseton Community Memorial Hospital, Hoopseton

  • Franklin Hospital, Benton

  • Massac Memorial Hospital, Metropolis

  • Hardin County General Hospital, Rosiclare

  • Crawford Memorial Hospital, Robinson

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