“Nevada hospitals are bracing for a financial crisis as President Donald Trump’s sweeping spending legislation threatens to cut millions in critical health care funding”

New reporting found that Trump’s “Big Beautiful Bill” will cost Nevada hospitals $235 million in revenue annually, likely leading to worse and more expensive health care for patients. The hospitals taking the biggest hits to their projected annual revenues include $45 million from University Medical Center in Las Vegas, $32 million from Renown Regional Medical Center in Reno, and $18 million from Mountain View Hospital. 

According to the article, as more Nevadans lose health coverage, hospitals “will face a surge in uncompensated care costs” just as revenue disappears, resulting in overburdened emergency departments, longer wait times, and increased costs for everyone else to compensate for the lost revenue. 

Earlier reporting also found that two of Nevada’s rural hospitals will be devastated by Trump and Congressional Republicans’ spending bill. Battle Mountain General Hospital and Humboldt General Hospital are two of more than 300 financially struggling rural hospitals that are at risk of closure or cutting critical services due to Republicans’ cuts to Medicaid. 

Despite the harm Trump and the GOP’s cuts to Medicaid will do to Nevada’s health care system, as it rips health care away from over 100,000 Nevadans in order to pay for tax cuts to billionaires, Joe Lombardo praised the bill and said Nevadans should be “excited” about it.

Read more below:

Las Vegas Sun: Nevada hospitals brace for impact of Trump’s budget bill

• Nevada hospitals are bracing for a financial crisis as President Donald Trump’s sweeping spending legislation threatens to cut millions in critical health care funding over the next decade.

• University Medical Center in Las Vegas faces the largest blow, anticipating annual revenue losses of $45.4 million, according to a report by Third Way, which pulled data from the National Academy for State Health Policy among other sources.

• Renown Regional Medical Center in Reno expects to lose $32.1 million yearly, while Mountain View Hospital projects an $18 million annual shortfall.

• “We expect to make adjustments to our business operations,” said Mason Van Houweling, UMC’s CEO. “That includes staffing modifications, service line evaluations, expense management and other measures any organization would implement when facing financial pressures of this magnitude.”

• The cuts stem from HR1 - dubbed the One Big Beautiful Bill - which Trump signed this month. The legislation slashes over a trillion dollars from support programs including Medicaid and the Supplemental Nutrition Assistance Program (SNAP) to fund increased spending on border security, defense and energy production.

• Almost a million people are on Medicaid in Nevada, and nearly 450,000 are receiving SNAP benefits, which provide aid for food to over 40 million low-income Americans.

• The county is “going to feel that ultimate pinch” because many of the people who lose their Medicaid or SNAP benefits will come to the county looking for assistance when money is already tight, Clark County Commissioner Tick Segerblom said. He added that the bill is “terrible,” “helping billionaires and going to hurt everyday citizens of Clark County.”

• In Nevada, the revenue hit to hospitals is expected to be around $232.5 million, according to the Third Way report.

Las Vegas Review-Journal: How will ‘Big Beautiful Bill’ impact health care in Nevada?

• President Donald Trump signed the first successful rollback of the country’s major health care programs into law on the Fourth of July, and some major changes are expected to be felt in Nevada over time.

• Known as the One Big Beautiful Bill Act, the reconciliation package includes critical policy changes, from ending taxes on tips to extending Trump’s 2017 tax cuts. It also cuts federal Medicaid spending by about $1 trillion over the next decade.

• The new law is expected to affect both patients and Nevada’s hospitals, though it may take time before the effects are felt, according to medical providers and national and state health care experts.

• Nevada’s Democratic members of Congress estimate over 110,000 Nevadans will lose coverage as a result of the bill. The nonpartisan Congressional Budget Office estimated in June that 11.8 million people will become uninsured nationwide by 2034.

• However, local and national health care experts say the provisions will indirectly cause people to lose coverage through the law’s extra burdens to receive and maintain coverage. 

• “These are people that are part of our community,” she told the Las Vegas Review-Journal. “They’re the working poor, they’re the folks that support the service industries, etc., and they’re not going to have access to health care any longer.”

• Some immigrants, including some who are lawfully present, will also lose care. Medicaid eligibility will be canceled for some refugees and asylum seekers starting Oct. 1, 2026. Other immigrants, including those with temporary protected status, will no longer be eligible for Medicare beginning 18 months after the enactment of the bill.

• Hospitals will see a substantial reduction in revenues from Medicaid patients - who make up 31 percent of inpatients across the state - and will have to provide more unreimbursed care in Nevada, said Patrick Kelly, president and CEO of the Nevada Hospital Association.

• “That’s going to be a big cut for us,” said Blayne Osborn, president of Nevada Rural Hospital Partners, an alliance of 13 small and rural hospitals in Nevada.

• The Nevada Republican Party couldn’t be reached for comment. Asked about the health care impacts of the bill in Nevada, Clark County Republican Party chair Jill Douglass said she did not feel it was in her area of expertise, and declined to comment.