Healthcare DIVE November 19, 2025
Emily Olsen

Though the impact on rural facilities has received more focus from lawmakers, the majority of hospitals that are most susceptible to the funding cuts operate in urban communities.

Dive Brief:

  • Urban safety-net hospitals are expected to be hit particularly hard by Medicaid cuts enacted in the One Big Beautiful Bill Act, even as lawmakers’ work to limit the financial hit has largely focused on struggling rural facilities, according to a report published this week.
  • Eight-five percent of hospitals most vulnerable to the reductions — critical access or safety-net facilities that are already financially distressed with a high share of Medicaid patients — operate in urban areas and serve a much larger proportion of American patients, according to the...

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