Several Republican lawmakers backing President Donald Trump’s “One Big Beautiful Bill” have failed to keep their campaign promises to their constituents and will instead raise health care costs for millions, according to the Democratic Congressional Campaign Committee (DCCC).
If enacted, the tax bill would increase health insurance premiums for 24 million people and leave approximately 16 million Americans uninsured, according to a new analysis from the Center for American Progress (CAP).
DCCC spokesperson Madison Andrus said in a statement that despite promising to address the growing cost of living, Texas U.S. Rep. Monica De La Cruz instead supports the tax bill, which could result in the closure of 15 hospitals in the Lone Star State.
“Monica De La Cruz is desperately failing to uphold her campaign promise to lower the cost of living – instead, making it her mission to give tax breaks to huge corporations and billionaires by making the largest cut to health care and food assistance in American history,” Andrus said.
The group further called out Florida Republican U.S. Reps. Cory Mills, Maria Elvira Salazar, and Anna Paulina Luna for supporting the legislation during its passage through the House, noting it will result in an annual premium increase of $1,200 for Floridians.
The bill, passed in the House and narrowly cleared the U.S. Senate Tuesday with Vice President JD Vance casting the tie-breaking vote. The bill now heads back to the House for approval before it reaches Trump’s desk for his signature.
A key dispute involves the Biden-era Affordable Care Act (ACA) provision that expanded tax credits, making it easier for certain Americans to get access to free bronze or lower-cost gold health plans.
The bill would undo “silver loading,” a pricing method introduced in 2018 after the Trump administration cut federal payments for cost-sharing reductions. To offset the loss, insurers raised silver-tier premiums. Reversing this policy lowers silver premiums but reduces tax credits, raising net costs for millions of enrollees over age 55, according to CAP.
On average, annual costs could rise by at least $1,000, pushing the total average cost of ACA plans above $10,000 per year.
Kentucky Republican Sen. Rand Paul opposed the measure, which could see the closure of approximately 35 rural hospitals in his state and increase annual ACA plan premiums for Kentuckians by at least $1,200.
