Public Citizen report identifies 446 hospitals at risk of closure from Medicaid cuts

In March 2026, Public Citizen releases a report identifying 446 hospitals at high risk of closing or reducing services due to Medicaid cuts in the One Big Beautiful Bill Act. Hospitals qualify if at least 20% of their revenue comes from Medicaid and low-income government programs and they have posted negative net profit margins from 2022 to 2024. At-risk hospitals span 44 states and D.C. The law is expected to cut roughly $1 trillion in federal Medicaid funding over the next decade, with major changes taking effect in 2027 and 2028. The Congressional Budget Office projects 7.5 million more people will lose insurance over the decade, with other provisions pushing that figure to 10 million. Hospitals are already responding. Trinity Health, which operates 92 hospitals across 15 states, projects it will lose $1.5 billion due to government funding changes and has cut 10.5% of its billing staff. St. Mary's Sacred Heart in rural Georgia closes its maternity unit. Greene County General Hospital in Indiana ends obstetrics services.