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Medicaid cuts put 300+ rural hospitals at closure risk

Enacted9/10
Federal · H.R.1, One Big Beautiful Bill Act, Pub. L. 119-21 · Jul 4, 2025
Impact 9/10

The 2025 reconciliation law reduces federal Medicaid spending by an estimated $911 billion over ten years, per CBO estimates analyzed by KFF. Researchers at the University of North Carolina's Sheps Center identified more than 300 financially struggling rural hospitals at heightened risk of closure or deep service cuts as a result. The law was signed July 4, 2025, and its largest Medicaid provisions phase in through 2028.

HealthcareSeniors (65+)Low-incomeRural residentsDisabledImmigrants

Sources

✓ Verified against primary sources 2026-08-16

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