The ending of round the clock emergency services at the Clonmel hospital is one of a series of drastic measures the Health Department has warned it may have to implement if it's to stay within budget.
All government departments have been told to come up with options that would ensure they can make required savings.
In its submission, the Department of Health says €213 million would have to be cut from spending next year to meet the target.
To do that, it says 290 inpatient beds in 17 hospitals including Waterford would have to be closed and high-cost procedures would have to be reduced.
That would mean 2,400 fewer operations, particularly in the orthopaedic area.
On top of those, some emergency departments would be the ending of round the clock A&E services at a number of hospitals including South Tipperary General and Cork’s Mercy Hospital as well as the introduction of a number of new charges.
However Irish Times Health Correspondent Paul Cullen thinks cuts to A&E at South Tipp General would only be in a worst case scenario.
The Tanaiste says the document highlighting the budget cuts at the Department of Health is just an 'options' paper.
Joan Burton says it is only showing the options available to the Health Minister Leo Varadkar.
Meanwhile a leading health expert has warned that the cuts would cause major problems.
Independent Senator and oncologist John Crown says they would slow down the whole health system.
Details of the submission have been leaked as Fine Gael faces into the second day of its party gathering in Cork.
Irish Times Parliamentary Correspondent Michael O'Regan says it'll make for interesting scenes, after a week in which the Health Minister was told off for discussing the budget in public.
