Fact Check: 🚑 WHEN YOU CAN’T AFFORD A DOCTOR Sec. 44110 + 44125: Cuts all care for undocumented people + bans gender-affirming care ➡️ Your local hospital shuts down because funding dries up. You get in line—and find out your service doesn’t exist anymore.

Fact Check: "When You Can’t Afford a Doctor: Cuts All Care for Undocumented People + Bans Gender-Affirming Care"

What We Know

The claim states that recent legislative actions will cut all healthcare for undocumented individuals and ban gender-affirming care, leading to local hospitals shutting down due to funding shortages. The House-passed reconciliation bill, known as the "One Big Beautiful Bill Act" or H.R. 1, proposes significant cuts to Medicaid and the Children's Health Insurance Program (CHIP). According to a report by the Georgetown University Center for Children and Families, these cuts could result in a net increase of 10.9 million uninsured individuals by 2034, largely due to restrictions on Medicaid eligibility and funding for various healthcare provisions, including those for undocumented immigrants (source-1).

The bill also includes provisions that would prohibit federal funding for gender-affirming care, impacting both adults and minors (source-5). This aligns with findings from the Clinical Advisor, which noted that the proposed cuts would significantly reduce access to gender-affirming care (source-3).

Analysis

The assertion that the legislation will eliminate all care for undocumented individuals is partially substantiated. The bill indeed includes provisions that would cut Medicaid funding for states that provide healthcare to undocumented immigrants. However, it does not entirely eliminate care; rather, it restricts funding and access, which could lead to significant reductions in available services (source-4).

Regarding gender-affirming care, the claim is accurate. The bill explicitly prohibits federal Medicaid funds from being used for gender-affirming medical care, which has been reported by multiple sources (source-3, source-5).

The potential impact on local hospitals is also a valid concern. The Congressional Budget Office (CBO) estimates that the cuts could lead to a significant increase in the number of uninsured individuals, which could strain local healthcare systems and potentially lead to hospital closures due to reduced funding and patient volume (source-1).

However, the claim's implication that all care will cease is misleading. While funding cuts will severely limit access to care for many, some services may still be available, albeit at reduced levels.

Conclusion

The claim is Partially True. While it accurately reflects the significant cuts to Medicaid and the prohibition of federal funding for gender-affirming care, it exaggerates the extent of the impact by suggesting that all care for undocumented individuals will be eliminated. The reality is that care will be severely restricted, leading to increased uninsured rates and potential hospital closures, but not a complete cessation of care.

Sources

1. Medicaid and CHIP Cuts in the House-Passed Reconciliation ... (https://ccf.georgetown.edu/2025/05/27/medicaid-and-chip-cuts-in-the-house-passed-reconciliation-bill-explained/)
2. SFC SxS on Recon Bill 05.23.25 FINAL (https://www.finance.senate.gov/imo/media/doc/051425_sfc_sxs_on_recon_bill_designed_final3.pdf)
3. ‘Big, Beautiful’ Bill Cuts Funding for Gender-Affirming Care ... (https://www.clinicaladvisor.com/news/big-beautiful-bill-prohibits-federal-funding-gender-affirming-care/)
4. Medicaid Provisions in the House Budget Reconciliation Bill (https://shvs.org/wp-content/uploads/2025/05/SHVS_Medicaid-Provisions-in-the-House-Budget-Reconciliation-Bill_5.22.2025.pdf)
5. House bill cuts Medicaid funds for adult trans health care (https://www.politifact.com/article/2025/jun/02/medicaid-bill-trans-gender-affirming-care-Trump/)
6. Understanding the wide-reaching impacts of Medicaid cuts (https://www.povertylaw.org/article/stephanie-altman-on-the-wide-reaching-impacts-of-medicaid-cuts/)
7. Health care would be slashed even for immigrants with ... (https://stateline.org/2025/07/01/health-care-would-be-slashed-even-for-immigrants-with-legal-status-under-massive-senate-bill/)
8. CA lawmakers nix some of Newsom's Medi-Cal cuts for ... (https://calmatters.org/health/2025/06/medi-cal-health-california-budget-legislature/)