Officials from one of Colorado’s biggest counties said they worry about the impact of the budget bill approved by the U.S. House on thousands of constituents. 

In a statement, the Adams County Board of Commissioners suggested that tens of thousands of people would lose health care coverage and go hungry.

In a news release, the county said nearly a third of its residents — about 150,000 — rely on Medicaid and that 70,000 people risk losing “food security.” Among the latter are 7,000 who are at “immediate risk” of getting cut from from federal food stamps, officials said. 

“When federal help disappears, the needs don’t go away. Our residents will show up at our doors. And we won’t have enough resources,” said Lynn Baca, the board chair.

Additionally, the budget bill also “threatens” rural hospitals, which might be “forced to reduce services or shut down,” the county said. 

At the heart of the multi-trillion-dollar legislation is an extension of the 2017 Tax Cuts and Jobs Act. The reconciliation bill doesn’t just extend the lower individual tax rates that were part of the 2017 law, but makes them permanent — a key priority for GOP tax writers.

The majority of voters, over 60%, would see their taxes go up next year if the legislation didn’t pass.

The core of the healthcare provisions in the bill beef up Medicaid work requirements for single, able-bodied adults and cut into Planned Parenthood by stopping Medicaid funds from being allowed to reimburse health clinics that provide abortions. 

Nearly 12 million Medicaid enrollees could lose insurance under the proposal, according to a June estimate from the Congressional Budget Office.

The bill also rolls back former President Joe Biden’s Inflation Reduction Act with an aggressive phasing out of clean energy tax credits. Additionally, the Supplemental Nutrition Assistance Program — food stamps — would be cut through work requirements and other changes.

Reuters and Washington Examiner contributed to this article.