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OBBBA's Medicaid cuts shocked hospitals, but they may never happen

By POLITICO  
   July 16, 2025

Hospitals lost big in President Donald Trump's megabill, but they still have plenty of time to fight back. The One Big Beautiful Bill Act that Trump signed on the 4th of July will take a $340 billion bite out of hospital budgets over a decade to pay for tax cuts and other Trump priorities. Then again, maybe it won't. Congress delayed implementation of the most devastating of those cuts till 2028, and hospitals, their armies of lobbyists and many allies on Capitol Hill are already gearing up to use the next two and a half years to persuade lawmakers to rescind them. And 2028 is not only an election year, but a presidential one.

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