Eighty-three hospitals in California are among 446 across 44 states and Washington, D.C., facing a heightened risk of closing, cutting services or laying off workers due to federal medicaid funding cuts, according to a new report.
The cuts to Medicaid were included in the “One Big Beautiful Bill” signed by President Donald Trump on July 4, 2025.
The report by Public Citizen, a nonprofit consumer advocacy organization, says the law will cut $911 billion in federal spending on Medicaid and CHIP over 10 years, according to estimates from the Congressional Budget Office.
Currently, California provides Medicaid coverage to eligible adults and children through Medi-Cal, the state’s public health insurance program. The state also uses Medi-Cal to support behavioral health services for children, teens and young adults under 21, connecting those with mental health needs to care through county-based systems and managed care providers.
New federal Medicaid requirements, set to take effect next year, could cause as many as 1.4 million Californians to lose coverage in the first year of implementation and up to 3.4 million over the next 10 years, according to a report by CalMatters.
Hospitals At Risk
California has the highest number of at-risk hospitals, according to a report by Public Citizen. Public Citizen identified these 83 hospitals at a higher risk of closing, cutting services, or laying off workers:
PIH Health Good Samaritan Hospital, Los AngelesCoalinga Regional Medical Center, CoalingaMartin Luther King Jr. Community Hospital, Los AngelesPioneers Memorial Hospital, Brawley Mad River Community Hospital, ArcataHollywood Presbyterian Medical Center, Los AngelesSierra View Medical Center, PortervilleEl Centro Regional Medical Center, El CentroAdventist Health Bakersfield, BakersfieldEast Los Angeles Doctors Hospital, Los AngelesSaint Agnes Medical Center, FresnoSt. Joseph Hospital – Eureka, Eureka Delano Regional Medical Center, Delano Adventist Health Tulare, Tulare St. Bernardine Medical Center, San Bernardino Valley Presbyterian Hospital, Van Nuys Greater El Monte Community Hospital, South El Monte Dameron Hospital, Stockton Mark Twain Medical Center, San Andreas St. Mary Medical Center, Long Beach Kaweah Delta Medical Center, Visalia Saint Francis Memorial Hospital, San Francisco Adventist Health and Rideout, Marysville Glendale Memorial Hospital & Health Center, Glendale Southern Inyo Hospital, Lone Pine Palmdale Regional Medical Center, Palmdale L.A. Downtown Medical Center, Los Angeles Redwood Memorial Hospital, Fortuna San Gorgonio Memorial, Banning Pacifica Hospital of the Valley, Sun Valley Garfield Medical Center, Monterey Park Glenn Medical Center, Willows Menifee Valley Medical Center, Sun City Shasta Regional Medical Center, Redding Anaheim Global Medical Center, Anaheim Adventist Health Glendale, Glendale UC Davis Medical Center, Sacramento Providence Little Company of Mary Medical Center San Pedro, San Pedro Methodist Hospital of Sacramento, Sacramento Garden Grove Hospital Medical Center, Garden Grove San Gabriel Valley Medical Center, San Gabriel Zuckerberg San Francisco General, San Francisco Ridgecrest Regional Hospital, Ridgecrest Providence St. Joseph Medical Center, Burbank Providence Holy Cross Medical Center, Mission Hills Anaheim Regional Medical Center, Anaheim Scripps Mercy Hospital, San Diego Watsonville Community Hospital, Watsonville Banner Lassen Medical Center, Susanville Coast Plaza Hospital, Norwalk Adventist Health Lodi Memorial, Lodi Adventist Health Mendocino Coast, Fort Bragg Sutter Solano Medical Center, Vallejo Laguna Honda Hospital, San Francisco CPMC – Mission Bernal Campus, San Francisco Alta Bates Medical Center, Berkeley Huntington Beach Hospital, Huntington Beach Biggs-Gridley Memorial Hospital, Gridley Loma Linda University Health – Murrieta, Murrieta Sharp Chula Vista Medical Center, Chula Vista Providence Cedars-Sinai Tarzana Medical Center, Tarzana Ventura County Medical Center, Ventura Providence Little Company of Mary Medical Center Torrance, Torrance Emanate Health Medical Center, Covina Northern Inyo Hospital, Bishop South Coast Global Medical Center, Santa Ana Orange County Global Medical Center, Santa Ana UCSF Medical Center, San Francisco Chapman Global Medical Center, Orange Sutter Delta Medical Center, Antioch Encino Hospital, Encino St. Joseph Hospital of Orange, Orange St. Johns Regional Medical Center, Oxnard San Dimas Community Hospital, San Dimas Santa Rosa Memorial Hospital, Santa Rosa St. Rose Hospital, Hayward Queen of the Valley Medical Center, Napa Regional Medical Center of San Jose, San Jose La Palma Intercommunity Hospital, La Palma Tri-City Medical Center, Oceanside Healdsburg Hospital, Healdsburg Petaluma Valley Hospital, Petaluma Stanislaus Surgical, Modesto
Communities served by the at-risk hospitals have larger shares of Black and Hispanic residents and people living below the poverty line than communities served by other hospitals, according to the report.
The report found that those hospital service areas were 20.2% Hispanic and 13.3% Black on average, compared with 13.0% Hispanic and 8.9% Black for other hospitals. Nearly 20% of the at-risk hospitals, or 85 facilities, serve high-poverty areas, according to the report.
California Closures, Cuts
California hospitals are facing severe financial strain, with rural facilities particularly at risk of closures and cuts.
Glenn Medical Center, located in the rural city of Willows, closed its emergency room in October 2025 after losing the necessary federal status to remain funded.
In February, a new federal law restored the “critical access” designation for the center, the only hospital in Glenn County. However, the center said it needs $40 million to $50 million to restart operations and bring back staff, according to a report by CalMatters.
Addressing Medicaid Cuts
At the federal level, Congress added a $50 billion Rural Health Fund to the law to “stabilize and strengthen rural hospitals and providers,” according to the report. But the analysis says there is uncertainty about whether that funding will be sufficient to prevent hospital closures or reductions in services.
— With reporting by Caren Lissner
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