Public Citizen Names 83 California Hospitals at Closure Risk Under H.R. 1 — UC Davis, Methodist Sacramento, Ventura, San Diego on List
Public Citizen's 'The Big Ugly Threat to Safety Net Hospitals' identifies 446 US hospitals at heightened closure risk from H.R. 1 Medicaid cuts (≥20% Medicaid payer mix + negative net margins 2022-2024) — 83 in California.
Named California hospitals include UC Davis Medical Center, Methodist Hospital of Sacramento, Ventura County Medical Center, San Diego County hospitals, and multiple LA County DHS facilities. These hospitals serve as critical referral partners and ED safety valves for FQHCs.
Loss of any would force additional uncompensated care into FQHCs already absorbing UIS costs after PPS elimination July 1, 2026. Even academic anchors like UC Davis are vulnerable.
CA-specific hospital list converts the abstract H.R. 1 threat into named-institution risk for FQHC strategic planning.
Key takeaways
- 446 US hospitals at risk; 83 in California — concrete named-institution list
- Even academic anchors (UC Davis) on the list — no FQHC referral partner is safe
- Loss of safety-net hospitals = uncompensated care surge into FQHCs
Primary source
Public CitizenFQHC Talent. (2026, April 19). Public Citizen Names 83 California Hospitals at Closure Risk Under H.R. 1 — UC Davis, Methodist Sacramento, Ventura, San Diego on List. Primary source: Public Citizen. Retrieved June 15, 2026, from https://www.fqhctalent.com/intel/public-citizen-big-ugly-threat-83-ca-hospitals-april-2026
More in Funding & Budget
Dec 31
CalAIM Section 1115 Waiver Expires December 2026 — $1.2B/Year at Stake
Jun 11
California's June 11 Budget Deal Delays the ~$1B FQHC Reimbursement Cut by 12 Months — a $1.034 Billion General-Fund Reprieve for Health Centers, Plus the MCO Tax and Softened Immigrant Cuts
Jun 10
California Breaks Ground on a New Modesto Youth Behavioral-Health Center — a >$5M BHCIP Award and a Rare Central Valley Infrastructure Win
Jun 10
The $50B rural health fund is now real money with real deadlines: Florida June 17, Alaska June 22, Indiana July 1, Tennessee July 6-20 — and FQHCs must compete for every dollar