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1A

What Medicaid Cuts Mean For American Hospitals

1A

NPR

News

4.34.5K Ratings

🗓️ 7 April 2026

⏱️ 43 minutes

🧾️ Download transcript

Summary

More than 80 million people rely on Medicaid. It’s the single largest source of funding for health coverage for low-income Americans. But President Donald Trump’s massive 2025 spending bill is expected to cut the program by nearly a trillion dollars over the next decade.

Hospitals could be among the hardest hit. Medicaid covers about a fifth of all their spending, according to KFF Health News.

And a new report from progressive think tank Public Citizen shows that more than 440 hospitals are at risk of closing or reducing services in the years ahead. More than a quarter of hospitals in states like Connecticut, California, New York, Massachusetts, and Washington are at risk of closing or cutting services.

Obstetrics care could be hit especially hard. It’s one of the most expensive categories of service provided by hospitals. And Medicaid funds nearly 40 percent of all births in the U.S.

What does the potential loss of hundreds of hospitals mean for the quality and availability of health care in this country?

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Transcript

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0:00.0

More than 80 million people rely on Medicaid.

0:11.1

It's the single largest source of funding for states providing health coverage for low-income Americans and people living with disabilities.

0:18.5

But President Trump's massive spending bill, which passed last year,

0:22.2

is expected to cut the program by nearly a trillion dollars over the next decade. Hospitals could be

0:27.8

among the hardest hit. Medicaid covers about a fifth of all hospital spending, that's according

0:32.7

to KFF Health News. A new report from the progressive think tank, Public Citizen, predicts that more than

0:39.3

440 hospitals are at risk of closing or reducing services in the years ahead. In states like

0:45.6

Connecticut, California, New York, Massachusetts, and Washington, public citizen projects that

0:50.8

more than a quarter of hospitals are at risk of shuttering or cutting services.

0:54.9

We should note that some hospitals named in the report challenge its findings. We'll hear what one of

0:59.0

them shared later. But it's clear that obstetrics care could be hit especially hard by these Medicaid

1:04.5

cuts. It's one of the most expensive services provided by hospitals, and Medicaid pays for nearly

1:09.9

40% of all births in the U.S.

1:12.6

So we'll talk about the future of delivery and labor units later on, but first, what does

1:17.6

the potential loss of hundreds of hospitals due to these funding cuts mean for the quality

1:21.7

and availability of health care in our country? I'm Jen White. You're listening to the 1A podcast.

1:28.5

We'll be back with more after this quick break. Welcome back to the 1A podcast. We're talking about the effects of

1:38.1

Medicaid cuts on hospitals and medical care in the U.S. Let's get into it and meet our panel.

1:43.7

Joining us in studio is Julie

1:45.3

Rovner. She's Chief Washington correspondent for KFF Health News. She hosts their weekly health

1:50.8

policy podcast, What the Health. It's distributed by our producing station, WAMU. Julie, it's always

1:56.3

great to have you on. Always a pleasure to be here. Also with us is Dr. Howard Foreman. He's a professor of radiology

...

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