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© 2026 Principle Civics. All rights reserved. Principle is a private civics edtech platform, not a government agency or government-affiliated organization. Official government data is used for educational purposes only.

Public Health · Tax & Budget · Public Policy·February 1, 2026

OBBBA Medicaid cuts put 380 rural hospitals at risk of closure in 2026

independent hospitals in 26 states face an average $630,665 revenue loss per facility

Rural Hospital Closures: Affected Residents Had Reduced Access to Health Care Services

gao.gov

The impact of rural general hospital closures on communities — A systematic review

onlinelibrary.wiley.com

A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law

kff.org

Allocating CBO Estimates of Federal Medicaid Spending Reductions Across the States

kff.org

Comparing States Rural Health Fund Allotments to Medicaid Spending Cuts Can be Misleading

kff.org

What Is the Impact of Medicaid Work Requirements?

kff.org

$50B Rural Health Slush Fund Faces Questions, Skepticism

kffhealthnews.org

Medicaid State Fact Sheets

kff.org

Medicaid and Rural Health

macpac.gov

State Legislature Finder — NCSL

ncsl.org

Unpacking the Rural Health Transformation Fund Created by Congress to Soften Impact of Medicaid Cuts

ccf.georgetown.edu

The CBO Breakdown on Medicaid Losses, Increase in Uninsured

factcheck.org

Federal Medicaid Cuts Would Force Rural Hospitals to the Brink of Closure (Full Report)

familiesusa.org

Rural Health Fund Will Do Little to Offset Harm to Rural Providers in Republican Megabill

cbpp.org

Federal Medicaid Cuts Would Force Rural Hospitals to the Brink of Closure

familiesusa.org

What Health Care Provisions of the OBBBA Mean for States

nashp.org

The Loss of a Rural Hospital Is Devastating for a Local Community

bu.edu

CBO Report on Distributional Effects of the Budget Act Finds Richest Gain and Poorest Face Cuts

medicarerights.org

Medicaid Coverage Supports Rural Patients, Hospitals, and Communities

aha.org

Rural Hospital Closures Reduce Access to Emergency Care

americanprogress.org

The Truth About the One Big Beautiful Bill Act's Cuts to Medicaid and Medicare

americanprogress.org

One Big Beautiful Bill Law Summary

astho.org

The OBBB Medicaid Work Requirements and the Hidden Risks for Hospitals

hfma.org

The Causes of Rural Hospital Problems

ruralhospitals.chqpr.org

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