Minnesota is one of the top ten states facing rural hospital closures, with nine at risk of closure due to negative revenue margins and loss of Medicaid-funded patients. Fairview Range (Hibbing) is among those at high risk, with 25 percent of its revenue coming from Medicaid. It houses a rare inpatient behavioral health unit. The Mayo Clinic in Fairmont is also at risk. 

 These rural hospitals are likely to shutter obstetrics, ERs, or other critical services due to steep revenue losses. Congressional Districts 1, 6, 7 and 8 (represented by Republicans) will be particularly affected. More than 20 percent of each district’s residents are on Medicaid, which helps fund the hospitals. 

States will be required to cover a portion of SNAP benefits and increased administrative costs, potentially leading to cuts in other state-funded programs or increased taxes. 

The bill will impose stricter work requirements for SNAP eligibility, potentially leading to more people losing benefits, especially those in rural areas with limited job opportunities. 

Cuts to SNAP could negatively impact other nutrition programs, such as school meals and Summer meal payments, reducing access to food for children.

The bill may restrict SNAP eligibility for certain immigrant groups, further reducing access to food assistance for vulnerable populations.

140,000 Minnesotans will lose healthcare coverage, according to the Minnesota Medical Association.

Children needing medical and assistive devices and therapy due to congenital conditions and other special healthcare needs will lose coverage.

Many Minnesotans will be forced off MNsure policies by rises in premiums due to cuts in subsidies. Private insurers are already seeking 12-24 percent increases in premiums for 2026. Young people, who must leave their parents’ policies at 26, are likely to go without insurance.

Bureaucratic eligibility checks for Medicaid will cost Minnesota taxpayers $4.9 million and could increase state, county and Tribal  costs by $165 million annually. 70 percent of Minnesotans on Medical Assistance already are working, but the paperwork is designed to discourage enrollment.

Trump’s One Big Beautiful Bill Act will raise MN electricity bills by 25–42% by 2035 (about $400 more per household each year).

Ends solar and EV tax credits, and phases out other clean energy incentives.

Thousands of clean energy jobs are at risk, while fossil fuels are favored.

Wildfires impact air quality across the state — made worse by hotter, drier summers.

Heat domes bring dangerous, prolonged heat waves, especially tough for kids, seniors, and outdoor workers.

Heavy rains and floods are happening more often, damaging homes, farms, and roads.

Ongoing push for copper-nickel mining in the Boundary Waters threatens clean water, fish, and one of Minnesota’s most beloved wilderness areas.

National parks and public lands are being underfunded and opened to more drilling and mining by private companies.

Federal climate assessments are being deleted or rewritten.

The government is withholding data that helps Minnesotans understand and prepare for climate risks.

ICE will be bigger than the FBI and have a budget larger than most of the world’s militaries, including Israel’s. 

$45 billion will go to building new detention centers and add 80,000 new beds, allowing for daily detention of 116,000 daily, including families.

ICE and U.S. Customs and Border Patrol operate a limited number of processing and detention facilities and contracts with state and local jails, but more than 90 percent of the average 48,000 people held daily in June 2025 were housed in private prison facilities, which are recording record profits.

The bill caps the number of immigration judges to 800 despite record backlogs in the immigration court system. 

Farmers, construction companies, nursing homes and manufacturers continue to be squeezed as their employees dodge ICE officers, further reducing the supply of workers especially in the agricultural SW region of the state. Immigrants make up almost 20 percent of the state’s workforce in agriculture, the service industry, health care and manufacturing.