Health care workers are expected to lose a total of $1,500 per month after a major health care system cut its emergency department staffing by one-third, according to Aurora Health Care.

The hospital system, which serves more than 20,000 residents, is expected to lay off as many as 50 staff.

The health care provider said it would cut back on emergency department visits, staffing and pharmacy services to keep up with population growth and to reduce wait times for patients.

Health care systems across the U.S. have been faced with declining patient populations and an influx of patients in recent years, as health care costs have skyrocketed.

Aurora’s decision to reduce its emergency room staff by nearly half comes as the Aurora Health System has struggled to keep pace with the rising costs.

According to the company, its emergency medical care team has lost 5,500 hours in the last five years.

The Aurora Health system has struggled with an influx in patients, a growing number of chronic medical conditions and an increase in hospital admissions and emergency room visits, the company said in a statement.

The news comes as President Donald Trump and congressional leaders continue to grapple with the impact of rising health care spending.

Earlier this month, the House Appropriations Committee approved $1 billion for the Department of Veterans Affairs to expand the Veterans Health Administration’s emergency room, and Congress is expected next week to approve a $1 trillion bill to fund the VA.