Rep. Jim Costa (D-Fresno) visited Adventist Health in Reedley on Monday, July 28, 2025, to call attention to Medicaid cuts brought on by the 2025-26 budget bill, coined by the Trump Administration as the “One Big Beautiful Bill.” Rep. Costa photo

Rep. Jim Costa (D-Fresno) visited Adventist Health in Reedley on Monday, July 28, to call attention to Medicaid cuts brought on by the 2025-26 budget bill, coined by the Trump Administration as the “One Big Beautiful Bill.”

Referring to the bill as “One Big-Ugly Bill,” Costa was joined by health care workers and leaders warning that the cuts have the potential to “cripple local clinics” and overwhelm emergency rooms.

Costa warned that the threat of impacted emergency rooms will make accessing care more difficult for everyone, not just those on Medicaid (Medi-Cal).

Adventist Health’s hospital in Reedley is among the U.S. facilities on a list provided by members of the U.S. Senate that could close because of Medicaid cuts .  

“Even if you’re not on Medicaid (Medi-Cal), you’ll feel this,” Costa said. “When clinics lose funding, emergency rooms get crowded, staffing shortages, and your insurance premiums go up. We need solutions, not devastating cuts that leave our communities behind.”

Research findings from the Joint Economic Committee found that, among the six congressional districts in the San Joaquin Valley, nearly 247,384 people will be left without Medi-Cal health coverage, the state’s Medicaid health program. Costa’s district alone will see more than 50,000 lose their coverage.

In addition to individuals losing coverage in Costa’s District 21, Rep. David Valadao’s (R-Bakersfield) is expected to see more individuals lose coverage than any other San Joaquin Valley district.

Voting in favor of the legislation earlier this month, Valadao said it “was not an easy decision.” But he said it would help the rural regions of the country, including in the Central Valley. He cited concessions made to support the district.

“After numerous conversations, an additional $25 billion was added to the newly established Rural Health Transformation Program — which will help to support rural and other at-risk hospitals in my district — bringing the total to $50 billion. I’ve been assured by the administration that it will be structured in a way that benefits our providers and keeps our hospitals and communities running,” Valadao said.