In this April 1, 2021, file photo May Nast arrives for dinner at RiverWalk, an independent senior housing facility, in New York. (AP Photo/Seth Wenig, File)

According to a report from ABC 27 News, 15 nursing homes and five hospitals in northwest Pennsylvania are at risk of shutting down due to the Medicaid cuts in President Donald Trump’s One Big Beautiful Bill.

5 rural nursing homes in upper PA are at risk of closing b/c of GOP cuts to Medicaid. The nursing homes are in districts represented by Republicans who voted to close them.

“The cuts represent the largest cuts to Medicaid in history & are going to have impacts across PA.” @alexsjacquez.bsky.social

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— Groundwork Collaborative (@groundwork.bsky.social) July 18, 2025 at 11:08 AM

Many nursing homes, especially in rural areas, rely on reimbursements from the Medicaid program to operate. Closures could leave seniors who don’t have anywhere else to go homeless, according to the Harrisburg, Pa. TV station.

The five hospitals are all located in districts with Republican congresspeople who approved the One Big Beautiful Bill earlier this year, which Trump signed into law on July 4. All Democrats and five Republicans, including Rep. Thomas Massie (R-KY), voted no for the bill to no avail, since the GOP controls the House, Senate, and presidency.

The Governor Josh Shapiro’s office estimates that 310,000 Pennsylvanians will lose health insurance coverage from nearly $1 trillion in Medicaid cuts over the next decade, while as many at 17 million people nationwide are at risk of losing coverage. The Healthsystem Association of Pennsylvania also reported as many as 42,000 jobs in the state’s health care sector could be lost.

Rural hospitals in Pennsylvania were already seeing an increased number of patients, many of whom with chronic health conditions and low access to transportation.