HIT Consultant November 7, 2025
On July 4, 2025, the “One, Big, Beautiful Bill Act” (OBBBA) was signed into law. Its backers hailed it as a vehicle for growth, while critics called it the quiet dismantling of America’s healthcare safety net.
OBBBA slashes Medicaid and ACA subsidies while inflating the deficit with trillions in tax cuts. Millions stand to lose coverage, and safety-net hospitals will face new financial instability. And rural health systems, already stretched to the breaking point, will be tested like never before.
But there is another angle here. There may be a potential inflection point within this sweeping legislation.
The $50 billion Rural Health Transformation Program (RHTP) is modest compared to the cuts surrounding it, but it forces Rural America to...
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