Skip to main content

FACT SHEET: Republican Middle Class Betrayal in San Francisco

April 10, 2025

From the Speaker Emerita's Press Office:

Today, House Republicans passed a budget that betrays the middle class with the largest cuts to Medicaid and SNAP in American history.  

Republicans are taking away health care, increasing the cost of essentials like food and housing, and decimating services working families count on – all to pay for $7 trillion giveaways to Donald Trump's billionaire donors, big corporations and the ultra-rich.

Below is a fact sheet prepared by the Office of Speaker Emerita Nancy Pelosi (CA-11) and the Democratic Staff of the House Committee on the Budget:

This is what Republican budget plans would mean for San Francisco:

  • $7 trillion in giveaways to billionaires and big corporations
  • $314,266 in average annual tax cuts for the richest 0.1 percent

Meanwhile, middle class families would be left holding the bag.

 

Ripping Away Health Care

The Affordable Care Act

Thanks to the Affordable Care Act, tens of millions of Americans can afford high-quality health care. House Democrats built on the Affordable Care Act, delivering lower prices and expanding coverage.

Under the Republican budget plan, the 32,000 people who receive coverage under the Affordable Care Act in San Francisco would see their average premium go up by $3,070 per year — a 112% increase.

Many families would face even steeper consequences. A 60-year-old couple with a household income of $85,000 in San Francisco would see their health insurance costs increase by $22,193 per year — a 307% increase in premiums.

Medicaid

Nearly 80 million Americans receive health care through Medicaid and the Children's Health Insurance Program, which provide critical care throughout all stages of life. Medicaid covers everything from childbirth to nursing home care and everything in between.

In San Francisco, the 162,583 people on Medicaid (also known in California as Medi-Cal) are at risk of losing their health care under Republican budget plans.

This includes 33,336 children under the age of 19 and 44,000 seniors over 65 in San Francisco.

Raising the Cost of Living

Food Assistance

With many American families struggling to put food on the table, the Supplemental Nutrition Assistance Program provides critical support for over 40 million Americans including children, seniors, veterans, and working parents.

Extreme Republican budget plans threaten the 211,000 people in San Francisco who count on SNAP to put food on the table.

School Lunches

Every year, more than 23 million children receive healthy school meals thanks to the Community Eligibility Provision.

Across California, the Republican budget threatens 2,452,931 children who rely on free school lunches.

If Republicans are successful, their extreme budget will make it even harder for these children to get the meals they need to grow and learn.

Pell Grants

About one in three undergraduate students receive Pell grants, which have helped millions of students afford the cost of a college education. These investments in future generations help grow our economy and our middle class.

The Republican budget would jeopardize the futures of 19,382 students in San Francisco who use Pell grants to help afford their education.

And that's only the beginning. Republicans are targeting even more critical services to fund their tax cuts for billionaires and big corporations.

The Trump Administration is already undermining our nation's economy by threatening essential public servants with reckless layoffs. In San Francisco alone, the federal government employs 7,602 people.

Learn more about how the Republican budget betrays the middle class here.