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' analyzed financial data from ~95% of U.S. Hospitals and identified 446 at heightened closure risk from H.R. 1's ~$911B Medicaid/CHIP cuts over a decade (≥20% Medicaid payer mix + negative net margins 2022-2024, across 44 states + DC) — 83 in California, the most of any state.

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-related coverage churn and preparing for the signed budget's July 1, 2027 UIS/PPS planning exposure. 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.