On July 4th, President Trump signed the controversial “Big Beautiful Bill” into law — a sweeping piece of legislation that slashes over $1 trillion in healthcare spending. The deepest cuts? Medicaid.
Now, rural America is on edge.
According to new data from the Cecil G. Sheps Center for Health Services Research, 338 rural hospitals are now officially “at risk” of closure, downsizing, or being forced to eliminate critical services like maternity wards or chemotherapy centers. These aren’t just numbers — these are lifelines for millions of families across 46 states.
🏥 In Kentucky alone, 35 hospitals are at risk.
🏥 Louisiana? 33.
🏥 Alaska, West Virginia, and California follow closely behind.
Democratic senators warned the President in a letter, saying this bill will have “devastating consequences” for health outcomes, jobs, and even survival. In response, the administration claimed rural hospitals are simply a fraction of total Medicaid spending and cited fraud under previous leadership.
But tell that to a mother in rural Nebraska now driving three hours for labor and delivery care.
One hospital has already announced its closure.
This is just the beginning.
Here’s the full list
Alaska
Providence Valdez Medical Center
Providence Seward Medical & Care Cen
Prov. Kodiak Island Medical Center
Cordova Community Medical Center
Ketchikan Medical Center
Alabama
Community Hospital Inc.
Marion Regional Medical Center
Lawrence Medical Center
Bullock County Hospital
Hill Hospital of Sumter County
Arkansas
Wadley Medical Center at Hope
Arizona
Page Hospital
Winslow Memorial Hospital
Copper Queen Community Hospital
Carondelet Holy Cross Hospital
Cobre Valley Regional Medical Center
California
Adventist Health St. Helena
Mad River Community Hospital
Oroville Hospital
St. Elizabeth Community Hospital
Adventist Health Reedley
Hi – Desert Medical Center
Barstow Community Hospital
Adventist Health Ukiah Valley
Pioneers Mem. Hospital
Memorial Hospital – Los Banos
Eastern Plumas Health Care
Adventist Health Tehachapi Valley
Southern Inyo Hospital
John C. Fremont Healthcare District
Mayers Memorial Hospital
Jerold Phelps Community Hospital
Biggs-Gridley Memorial Hospital
Mountains Community Hospital
Kern Valley Healthcare District
Trinity Hospital
Fairchild Medical Center
Adventist Health Clearlake
Sutter Lakeside Hospital
Modoc Medical Center
Bear Valley Community Hospital
Mee Memorial Hospital
Hazel Hawkins Mem. Hospital
Coalinga Regional Medical Center
Colorado
Delta County Memorial Hospital
Conejos County Hospital
Grand River Hospital District
Prowers Medical Center
Southwest Memorial Hospital
Arkansas Valley Regional Med Center
Connecticut
Sharon Hospital
Delaware
Nanticoke Memorial Hospital
Florida
Lakeside Medical Center
Georgia
Washington Co Reg Med Center
Irwin County Hospital
Fannin Regional Hospital
Flint River Community Hospital
Hawaii
Kau Hospital
Kohala Hospital
Molokai General Hospital
Lanai Community Hospital
Samuel Mahelona Memorial Hospital
Hale Hoola Hamakua
Iowa
MercyOne – Newton Medical Center
Manning Regional Healthcare Center
Idaho
Power County Hospital District
St. Lukes Jerome Ltd
Cassia Regional Hospital
Illinois
Katherine Shaw Bethea Hospital
OSF Sacred Heart Medical Center
Richland Memorial Hospital
Harrisburg Medical Center Inc.
Hoopeston Community Memorial Hospital
Franklin Hospital
Massac Memorial Hospital
Hardin County General Hospital
Crawford Memorial Hospital
Indiana
Daviess Community Hospital
Memorial Hospital Logansport
Community Hospital of Bremen Inc.
Ascension St. Vincent Randolph
Ascension St. Vincent Jennings
Ascension St. Vincent Clay
Ascension St Vincent Salem
IU Health Jay Hospital
Franciscan Health Rensselaer
Sullivan County Community Hospital
Adams Memorial Hospital
Harrison County Hospital
Kansas
Centura Bob Wilson Memorial Hospital
UKHS Great Bend Campus
Kiowa County Memorial Hospital
Rush County Memorial Hospital
Norton County Hospital
Great Plains of Smith County, Inc.
Kentucky
Whitesburg ARH
Highlands Regional Medical Center
UofL Health-Shelbyville
T.J. Samson Community Hospital
St. Claire Medical Center
Middlesboro ARH
Spring View Hospital
AdventHealth Manchester
Bourbon Community Hospital
Harlan ARH
Deaconess Henderson Hospital
Saint Joseph Mount Sterling
Tug Valley ARH
Owensboro Health Twin Lakes Medical
Baptist Health Corbin
Clark Regional Medical Center
Baptist Health Madisonville
The Medical Center of Albany
Three Rivers Medical Center
Kentucky River Medical Center
TJ Health Columbia
Pineville Community Health Center
Marcum & Wallace Memorial Hospital
Our Lady of The Way
Casey County Hospital
Carroll County Memorial Hosp
The Medical Center at Caverna
Fort Logan Hospital
Mary Breckinridge Hospital
Jane Todd Crawford Hospital
Barbourville ARH Hospital
Saint Joseph Berea
Russell County Hospital
McDowell ARH
Fleming County Hospital
Louisiana
Ochsner St. Mary
Savoy Medical Management Group Inc.
Iberia Medical Center
West Carroll Health Systems LLC
North Louisiana Medical Center
Winn Parish Medical Center
Avoyelles Hospital
Oakdale Community Hospital
Morehouse General Hospital
Desoto Regional Health System
Allen Parish Hospital
Franklin Medical Center
Minden Medical Center
Richland Parish Hospital Service District 1-B
Byrd Regional Hospital
Mercy Regional Medical Center
Citizens Medical Center
Caldwell Memorial Hospital
East Carroll Parish Hospital
Sabine Medical Center
Our Lady of The Angels Hospital Mc
Southeast Regional Medical Center
Acadian Medical Center
St. Helena Parish Hospital
Union General Hospital Inc.
West Feliciana Parish Hospital
West Ascension Parish Hospital
Hood Memorial Hospital
Franklin Foundation Hospital
Christus Coushatta Health Care Center
Madison Parish Hospital
Trinity Medical
Lallie Kemp Regional Medical Center
Massachusetts
Baystate Franklin Medical Center
Maine
The Aroostook Medical Center
Maine Coast Memorial Hospital
Michigan
Mclaren Central Michigan
Carson City Hospital
Aspirus Ontonagon Hospital
Ascension Borgess-Lee Hospital
Minnesota
Range Regional Health Services
Mayo Clinic Health System-Fairmont
Missouri
Bothwell Regional Health Center
Scotland County Memorial Hospital
Parkland Health Center – Bonne Terre
Lafayette Regional Health Center
Mississippi
Alliance Healthcare System
Delta Health-Northwest Regional
Baptist Mem Hospital Booneville
Greenwood Leflore Hospital
Jeff Anderson Regional Medical Center
Highland Community Hospital
Panola Medical Center
Baptist Medical Center – Yazoo
Montana
Northeast Montana Healthcare-Poplar
Prairie Community Hospital
Garfield Co. Health Center
Logan Health Cutbank
Big Horn Hospital
Northeast Montana Health Services
Providence St Joseph Medical Center
Big Sky Medical Center
North Carolina
UNC Rockingham Hospital
Person Memorial Hospital Inc.
Chatham Hospital Inc.
MH Angel Medical Center LLLP
Blue Ridge Regional Hospital
North Dakota
Nelson County Health System-Hospital
Presentation Medical Center
Mercy Hospital
Nebraska
Avera Creighton Hospital
Ogallala Community Hospital
New Hampshire
Cheshire Medical Center
New Mexico
Alta Vista Regional Hospital
Eastern New Mexico Medical Center
Espanola Hospital
Plains Regional Medical Center – Clovis
Rehoboth Mckinley Christian Hospital
Carlsbad Medical Center
Covenant Health Hobbs Hospital
Roosevelt General Hospital
Lovelace Regional Hospital-Roswell
Socorro General Hospital
Dr. Dan C. Trigg Memorial Hospital
Lincoln County Medical Center
Miner Of Colfax Medical Center
Mimbres Memorial Hospital
Holy Cross Hospital
Nevada
Battle Mountain General Hospital
Humboldt General Hospital
New York
Wyoming County Community Hospital
Newark Wayne Community Hospital
Geneva General Hospital
Bon Secours Community Hospital
Westfield Memorial Hospital
Claxton Hepburn Medical Center
Massena Memorial Hospital
Garnet Health Medical Center – Catskills
Clifton-Fine Hospital
Gouverneur Hospital
Lewis County General Hospital
Ohio
Southern Ohio Medical Center
Wayne Hospital Company
East Liverpool City Hospital
Coshocton Regional Medical Center
Twin City Hospital
Harrison Community Hospital
Bucyrus Community Hospital
Holzer Medical Center Jackson
Galion Community Hospital
Adams County Regional Medical Center
Fayette County Memorial Hosp
Oklahoma
Integris Miami Hospital
Blackwell Regional Hospital
McAlester Regional Health Center
Hillcrest Hospital Cushing
Choctaw Memorial Hospital
Sequoyah County City of Sallisaw Hos
Integris Grove Hospital
Perry Memorial Hospital
Wagoner Hospital Authority
Adair County Health Center
Hillcrest Hospital Henryetta
Lindsay Municipal Hospital Authority
Mercy Hospital Watonga
Mercy Hospital Tishomingo
Mercy Health/Love County
Mercy Hospital Healdton Inc.
Cleveland Area Hospital
Carnegie Tri-County Municipal Hospital
Haskell Regional Hospital
Harmon Memorial Hospital
Memorial Hospital of Texas County
Oregon
Silverton Hospital
Providence Seaside Hospital
St Charles Madras
Good Shepherd Medical Center
Pennsylvania
UPMC Jameson
UPMC Northwest Hospital
UPMC Kane
UPMC Horizon Hospital
Highlands Hospital
South Carolina
Oconee Memorial Hospital
MUSC Health Chester Medical Center
MUSC Health Marion Medical Center
The Regional Medical Center
Abbeville Area Medical Center
South Dakota
Sanford Aberdeen Medical Center
Bennett County Hospital
Tennessee
Unicoi County Hospital
Wayne Medical Center
Baptist Mem Hospital Huntingdon
West Tn Healthcare Volunteer Hospital
Dyersburg Regional Medical Center
St Thomas Dekalb Hospital
Saint Thomas Highland Hospital
Vanderbilt Wilson County Hospital
Saint Thomas Stones River Hospital
Texas
Anson General Hospital
Ascension Seton Smithville
Val Verde Regional Medical Center
Falls Community Hospital and Clinic
Covenant Hospital Plainview
Scenic Mountain Medical Center
El Campo Memorial Hospital
Covenant Hospital Levelland
North Runnels Hospital District
Palacios Community Medical Center
Haskell Memorial Hospital
Mitchell County Hospital
TMC Bonham Hospital
Mid Coast Medical Center-Central
Baylor Scott & White – Marble Falls
Utah
Fillmore Community Hospital
Blue Mountain Hospital
Beaver Valley Hospital
Virginia
Southampton Memorial Hospital
Southern Virginia Regional Medical Center
Community Memorial Hospital
Carilion Tazewell Community Hospital
Rappahannock General Hospital
Lee County Community Hospital
Washington
Samaritan Hospital
Toppenish Community Hospital
Summit Pacific Medical Center
Odessa Memorial Hospital
Coulee Medical Center
Providence St Joseph’s Hospital
Prosser Memorial Health
Klickitat Valley Health
Othello Community Hospital
Three Rivers Hospital
Forks Community Hospital
Mid-Valley Hospital
Astria Sunnyside Hospital
Mason General Hospital
Wisconsin
Holy Family Memorial Inc.
MCHS Oakridge
Aspirus Stanley Hospital
West Virginia
Logan Regional Medical Center
Welch Community Hospital
Broaddus Hospital Association
Minnie Hamilton Health Care Center
Grafton City Hospital
Montgomery General Hospital
Jackson General Hospital
Wyoming
Summit Medical Center LLC
Platte County Memorial Hospital
(Source: Office of Senator Edward J. Markey)
