The recently passed GOP tax and spending law cuts about a trillion dollars from Medicaid over the next decade. Those cuts, according to the Congressional Budget Office and other independent analyses, will add upwards of 11 million people to the ranks of the uninsured.

According to estimates from Manatt Health, rural hospitals stand to lose $70 billion over the next decade as a result of Trump’s tax cuts and spending legislation. Put it another way: Hospitals are projected to lose 21 cents from every Medicaid dollar received.

U.S. House of Representatives Speaker Mike Johnson looks at U.S. President Donald Trump signing the sweeping spending and tax legislation, known as the "One Big Beautiful Bill Act," to mark Independence Day, at the White House in Washington, D.C., U.S., July 4, 2025.