Over 300 Rural Hospitals at Disproportionate Risk of Closure, Conversion, or Service Reductions Due to GOP Cuts

Watch: Senator Markey forces vote on Senate floor

Washington (June 30, 2025) - Senator Edward J. Markey (D-Mass.), Ranking Member of the Health, Education, Labor, and Pensions (HELP) Subcommittee on Primary Health and Retirement Security, today forced a vote on a motion to cut any provision of Trump’s so-called “Big Beautiful Bill” that would make it more likely that rural hospitals close or cut services altogether. Republicans overwhelmingly voted down the amendment from passing. The motion failed by a vote of 49-51.

Earlier this month, Senator Markey released a list of more than 300 rural hospitals across the United States at disproportionate risk of closure, conversion, or service reductions due to proposed health care cuts in the bill. Republicans are proposing over $1.6 trillion in draconian spending cuts to Medicaid, Medicare, the Affordable Care Act, and SNAP to pay for tax cuts for people with incomes over $500,0000. These cuts include $930 billion to Medicaid, $500 billion to Medicare, and $300 billion to the Affordable Care Act. 

Below is an excerpt from Senator Markey’s remarks on the Senate floor.

“A few weeks ago, I released a list of more than 300 rural hospitals across the country at risk of closing or stopping services because of ANY major cuts to Medicaid or Medicare. Today, that’s what Republicans are guaranteeing with the $1 trillion cut to our health care system they would create with this bill.

“My Republican colleagues know these risks are real, which is why they’ve tried to create a so-called Medicaid Cuts Replacement Fund that is just a fraction of what they’re taking from Americans’ health care to give to billionaires. This Fund is like giving aspirin to a cancer patient. It is pathetically insufficient.

“No billionaire tax break or Donald Trump pat on the back is worth the risk to people’s lives and livelihoods. Stop these cuts.”

Previously, Senator Markey, along with Democratic Leader Chuck Schumer (D-N.Y), Senator Ron Wyden (D-Ore.), Ranking Member of the Finance Committee, and Senator Jeff Merkley (D-Ore.), Ranking Member of the Budget Committee, released detailed data from the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill concluding that Republican health care cuts in the House Republican-passed bill could place over 300 rural hospitals across the U.S. at disproportionate risk of closure, conversion, or service reductions. This includes 33 hospitals in Louisiana, 35 hospitals in Kentucky, and 21 hospitals in Oklahoma.

In the face of these Republican cuts, a majority of adults living in rural areas are concerned that health care cuts will “negatively impact hospitals, nursing homes, and other health care providers in [their] community.” Rural hospitals are struggling; in 2023, there were 50 fewer rural hospitals than in 2017, and a lack of health care access in rural America is contributing to worse health outcomes. Faced with additional cuts to their revenue, many rural hospitals may be forced to stop providing certain services, including obstetric, mental health, and emergency room care, convert to clinics or standalone emergency centers, or close altogether. Rural hospitals are often the largest employers in rural communities, and when a rural hospital closes or scales back their services, communities are not only forced to grapple with losing access to health care, but also with job loss and the resulting financial insecurity.

The 338 rural hospitals at-risk of reducing service lines, converting to a different type of health care facility, or closing include:

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

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