Will result in rural hospitals being closed.
www.aha.org
“The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.1 See the chart on the next page for a state-by-state breakdown of rural spending and coverage losses.

Rural Hospitals at Risk: Cuts to Medicaid Would Further Threaten Access | AHA
The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
“The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.1 See the chart on the next page for a state-by-state breakdown of rural spending and coverage losses.
Rural Hospitals Are Already Struggling:
- 48% of rural hospitals operated at a financial loss in 2023.2
- 92 rural hospitals have closed their doors or been unable to continue providing inpatient services over the past 10 years.3
- Rural hospitals lose money on several critical service lines, including behavioral health, pulmonology, obstetrics, and burns and wounds.4”