June 29, 2025

Ahead of Vote-a-rama, Durbin Sounds The Alarm On Republicans' So-Called "One Big, Beautiful Bill"

In a speech on the Senate floor, Durbin highlights how Senate Republicans’ bill will slash health care coverage for more than 16 million Americans to provide massive tax breaks for billionaires

WASHINGTON  Ahead of an upcoming vote-a-rama, where Senate Democrats will expose the truth about Republicans’ so-called One Big Beautiful Bill Act, which will slash Medicaid, Affordable Care Act, and Medicare coverage for more than 16 million Americans to provide massive tax breaks for billionaires, U.S. Senate Democratic Whip Dick Durbin (D-IL) delivered a speech on the Senate floor where he underscored the dangers of this Republican proposal and called on four of his Senate Republican colleagues to stand up and oppose this harmful legislation.

“We’re here today debating a clumsily assembled package—still a work in progress—that would rip away health care from 16 million American families to give tax breaks to millionaires, billionaires, and the largest corporations,” Durbin said. “Think about that for a moment. The Republicans have decided that the best avenue to generate revenue that they can then give in tax breaks to wealthy people is to eliminate health insurance coverage for 16 million Americans. That’s going to have a dramatic impact on their lives… The notion of losing your health insurance leaves you as vulnerable as possible in some of the most important moments of your life. And that they would consider this provision—to eliminate health insurance coverage for 16 million families—is unimaginable and cruel.”

Durbin continued, “Let’s not act like there is a unified Republican front on this issue. Even some of my colleagues on the other side of the aisle don’t want to be here at this moment jamming this unpopular bill through this chamber under arbitrary deadlines… Behind closed doors, my Republican colleagues continued to be consumed with infighting, bickering over the bill’s substance—and for good reason.”

Durbin outlined how the Senate Republican bill cripples one of the main ways that states fund their Medicaid programs and keep hospitals afloat, especially in rural and low-income areas—the provider tax.

Earlier this week, a Republican Senator circulated a flyer to his fellow caucus members detailing just how much each state will lose in Medicaid provider tax funding under their proposal. It said: Iowa would lose $4.1 billion; Missouri would lose $6.1 billion; Kentucky would lose $12 billion; Louisiana would lose $20 billion; North Carolina would lose $38.9 billion dollars.

“This list of states and what they will lose was passed around by a Republican Senator to his own caucus. They know what they are up against here,” Durbin said. “If Republicans have their way and pass this bill, hospitals will be forced to shrink or eliminate services… doctors and nurses will leave, and—in some cases—the hospital will close.”

Durbin continued, “As it stands today, half of the rural hospitals around the country already operate in the danger zone… If Republicans have their way, we are going to see massive layoffs—fewer nurses, technicians, and doctors—along with decreasing quality of care.” 

The American Hospital Association estimated how these cuts to Medicaid could impact not just the jobs at these red-state hospitals, but jobs across the entire state economy. Here’s what they found: Maine could lose nearly 5,000 jobs. Kansas could lose 6,200 jobs. Iowa could lose nearly 11,000 jobs. And Missouri could lose 26,600 jobs.

Durbin then discussed the so-called “rural hospital fund” Senate Republicans concocted, which is designed to mask the harms of their own Medicaid cuts. 

“They [Republicans] came up with a rescue fund to solve the political problem… [the] overall cut in Medicaid now is about a trillion dollars. $1 trillion… Cutting Medicaid nationwide a trillion dollars. And the rescue plan for the small hospitals that are in danger, the ones I’ve talked about, a trillion dollars cut, how big is the rescue plan? 25 billion dollars. Do the math. It’s a joke,” Durbin said. “If Republican leaders think this is an adequate amount to alleviate the pains all of our nation’s rural hospitals are going to feel, then that’s like trying to put out a forest fire with a garden hose. This simply won’t work.”

Durbin concluded by highlighting how congressional Democrats worked in a bipartisan manner to craft the Affordable Care Act, which has allowed more than 40 million Americans to gain health insurance coverage and led to a historic decline in our nation’s uninsured rate.

“I want to conclude by saying this: we passed the Affordable Care Act 15 years ago. Of all the things that I’ve worked on in Congress, I think it had more positive impact to help the families across America than anything. We found a way to make health insurance more affordable for families, 15 years ago. And to do it, we held hearings—[Senate Democrats] [held] 100 hearings on theAffordable Care Act, roundtables, [and] walkthroughs. Two Committees spent a combined 21 days holding markups so that everyone could offer an amendment. Do you know how many amendments were made to the Obamacare program? 400 votes in Committee and on the Floor on amendments. 147 Republican amendments were included, though not a single Republican Senator ended up supporting Obamacare,” Durbin said. “At the end of the day, that legislation, Obamacare, allowed more than 40 million Americans to gain health insurance.”

Durbin continued, “Today, how many hearings have we had on this bill before us, this dramatic, multitrillion dollar bill? None, zero, not a single one. Zero markups for Senators to offer amendments. 400 amendments on Obamacare. None on this one, until it comes to the Floor today. Zero bipartisan input. Our friends on the Republican side have said basically, ‘It’s a big deal. Take it or leave it.’ Should this bill become a law, do you know what it will have done? Thrown 16 million Americans off health insurance and closed many vulnerable, small hospitals all to pay fortax breaks for millionaires and billionaires. Maybe some of my Republican [colleagues] are okay with that. I don’t think the American people are.”

Durbin concluded, “I’m hoping that sanity and commonsense prevail. We need four [Republican] Senators to step up and say stop this train. We’ve got to sit down and do our homework. We cannot expose the American families and the American economy to do this in the name of preserving tax breaks for the wealthiest people. Elon Musk seems to be doing okay in life, right? The wealthiest man in the world. Do you know what the tax break is for Elon Musk on the bill that is before us on the floor? $346,000. A lot of money. To him, he won’t even notice it. Giving him a tax break he won’t notice and taking away from health insurance from families who will be devastated, 16 million around the country. It’s an important choice.”

Video of Durbin’s remarks on the Senate floor is available here.

Audio of Durbin’s remarks on the Senate floor is available here.

Footage of Durbin’s remarks on the Senate floor is available here for TV Stations.

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