Health · Healthcare & Policy · 9 hrs ago

Medicaid cuts raise risk of more US maternity ward closures

Medicaid cuts raise risk of more US maternity ward closures

Maternity wards across the United States are closing as hospitals prepare for cuts to federal Medicaid funding under the HR1 bill.

Since the bill was announced in July 2025, 52 wards have closed and eight more have announced plans to close, according to Protect Our Care.

The changes are due to take full effect in the new year and include less federal funding for states, new work requirements for many adults on Medicaid and more frequent checks of eligibility.

Medicaid pays for about 40% of births in the United States, and experts warn that reduced funding could make it harder for hospitals to keep maternity services open.

Rural communities may be especially affected: 31 rural hospitals with labor and delivery services have been identified as at risk, and their closure could leave 96 counties without such a unit.

Experts say the changes could also disrupt coverage for some pregnant people who are not enrolled through Medicaid’s pregnancy pathway.

More maternity ward closures are expected before and after the Medicaid changes take effect.

Sources

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