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While many Illinoisians struggle to make ends meet, the One Big Beautiful Bill Act (OBBBA) signed into law this summer will worsen their lives through punishing reductions to the Medicaid program through work requirements and cost-sharing requirements for Medicaid customers, and other cuts impacting hospitals.

OBBBA represents the largest reduction in Medicaid spending—$1 trillion over 10 years—in the program’s 60-year history. It’s estimated as many as 500,000 Illinoisans will lose healthcare coverage and Illinois will lose nearly $51 billion in federal Medicaid funding over 10 years. This law reverses over a decade in coverage gains for patients across the country and in Illinois.

Our state’s most vulnerable residents cannot afford to lose access to needed healthcare services and affordable prescription drugs. Unfortunately, it’s already happening due to restrictions pharmaceutical companies have imposed on hospitals that are part of the federal 340B drug discount program because they serve many low-income and uninsured patients.

Faced with rising expenses, hospitals are struggling too. Over half of Illinois’ hospitals have operated on slim to negative margins over the past decade. Big Pharma’s 340B restrictions have slashed the savings from discounted drugs that over 100 Illinois hospitals rely on to reduce drug costs for patients and expand healthcare services, as intended when 340B began in 1992.

Vote YES on House Bill 2371 SA 2 to protect 340B at no cost to the state and to prevent further harm to Illinois healthcare. Learn more.