S&P Sees Trump Tax Law Hurting State and Hospital Balance Sheets

July 7, 2025, 5:33 PM UTC

President Donald Trump’s new budget bill is expected to push almost 12 million Americans off their health insurance, creating long-term financial issues for states and health-care providers, according to a S&P Global report.

The One Big Beautiful Bill Act makes substantial cuts to Medicaid, the public health insurance program for low-income and disabled people. In the long term, that reduced funding could hurt the balance sheets of state governments and hospitals alike, according to the report released Monday.

“US states and not-for-profit health care providers are affected by new Medicaid stipulations that standardize work requirements for recipients, reduce the ...

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