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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