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 Angeles
Coalinga Regional Medical Center, Coalinga
Martin Luther King Jr. Community Hospital, Los Angeles
Pioneers Memorial Hospital, Brawley
Mad River Community Hospital, Arcata
Hollywood Presbyterian Medical Center, Los Angeles
Sierra View Medical Center, Porterville
El Centro Regional Medical Center, El Centro
Adventist Health Bakersfield, Bakersfield
East Los Angeles Doctors Hospital, Los Angeles
Saint Agnes Medical Center, Fresno
St. 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.