Nine Ohio hospitals face heightened risk of closing or reducing services as a direct result of Medicaid cuts enacted by the One Big Beautiful Bill Act, according to a Public Citizen report published in March 2026.

The report identifies 446 hospitals nationally that meet two criteria: at least 20% of their revenue comes from Medicaid and low-income government programs, and they have posted negative net profit margins on average from 2022 through 2024. The law, signed by President Trump on July 4, 2025, will cut $911 billion in federal Medicaid and CHIP spending over the next decade, according to the Congressional Budget Office.

Six of the 9 Ohio hospitals on the at-risk list are in congressional districts represented by Republicans who voted for the bill. The remaining three — all Cleveland Clinic facilities in Cuyahoga County — are in the district of Rep. Shontel Brown, a Democrat who voted against it. Both of Ohio’s U.S. senators — Bernie Moreno and Jon Husted — voted for the law.

The Ohio hospitals identified in the report are:

  • Coshocton Regional Medical Center in Coshocton (OH-12, Rep. Troy Balderson, R)
  • UH Conneaut Medical Center in Conneaut (OH-14, Rep. David Joyce, R)
  • Twin City Hospital in Dennison (OH-6, Rep. Michael Rulli, R)
  • Mercy Regional Medical Center in Lorain (OH-5, Rep. Robert Latta, R)
  • Mary Rutan Hospital in Bellefontaine (OH-4, Rep. Jim Jordan, R)
  • Greene Memorial Hospital in Xenia (OH-10, Rep. Michael Turner, R)
  • Euclid Hospital in Euclid (OH-11, Rep. Shontel Brown, D)
  • South Pointe Hospital in Warrensville Heights (OH-11, Rep. Shontel Brown, D)
  • Marymount Hospital in Garfield Heights (OH-11, Rep. Shontel Brown, D)

Several of these facilities carry special Medicare payment designations that signal their critical role in the communities they serve. Coshocton Regional Medical Center and Mary Rutan Hospital are both designated Sole Community Hospitals, meaning each is the only source of short-term acute inpatient care in its area. UH Conneaut Medical Center and Twin City Hospital are Critical Access Hospitals — rural facilities with 25 or fewer beds located far from other hospitals.

Statewide, Ohio has 9 at-risk hospitals out of 148 total hospitals with available data — a 6.1% share. That figure is lower than the national leaders — Connecticut at 36%, California at 31%, and New York at 31% — but the consequences for the specific communities served by these hospitals could be severe, particularly in rural areas where there may be no nearby alternative for emergency or inpatient care.

The report found that nationally, at-risk hospitals serve communities with higher poverty rates — 15.8% compared to 13.4% for all other hospitals — and larger shares of Black and Hispanic residents. Nearly 20% of the 446 at-risk hospitals serve areas the USDA classifies as high-poverty.

Hospitals across the country have already begun cutting services and jobs in response to the law. Alameda Health System in Oakland, California laid off nearly 300 employees in December 2025, projecting losses of more than $100 million annually by 2030. Erie County Medical Center in Buffalo, New York — the region’s only Level 1 Trauma Center — announced layoffs and furloughs in January, directly citing Medicaid cuts. Trinity Health System, which operates 92 hospitals across 15 states, announced it would lay off 10.5% of its revenue cycle staff, warning that government funding changes could reduce its annual revenue by $1.5 billion.

Obstetric care has been particularly hard hit. Greene County General Hospital in Linton, Indiana ended obstetrics services in January 2026. CEO Brenda Reetz said in a statement published by the Indiana Hospital Association that the hospital could no longer sustain the unit because Medicaid and commercial insurance reimbursements fall far below the actual cost of care.

In rural Georgia, St. Mary’s Sacred Heart ended maternal health services in November, with hospital leadership citing congressional Medicaid cuts as a factor. In Farmville, Virginia, Centra Southside Community Hospital closed its labor and delivery and OBGYN surgical services in December, referencing recently enacted reductions in federal health care funding.

Congress included a $50 billion Rural Health Fund in the law following bipartisan concerns about rural hospital viability. But according to an analysis by KFF, that amount covers only about 37% of the estimated loss of federal Medicaid funding in rural areas, and the distribution process has left many hospitals unlikely to see relief.

The report was authored by Eileen O’Grady for Public Citizen, a nonprofit consumer advocacy organization. The analysis used CMS cost report data provided by the National Academy for State Health Policy’s Hospital Cost Tool, covering 4,241 hospitals — approximately 95% of all U.S. acute care hospitals.

The authors noted the list is descriptive rather than predictive — it does not forecast closures but identifies the hospitals most financially vulnerable to the law’s Medicaid cuts.