Trump’s reform law that seeks to make coverage harder to get, and to keep, includes working 80 hours a month

It is a date keeping US healthcare providers up at night: 1 January 2027.

As the midterm elections loom, everyone from hospital leaders and to patient advocates are focused on the New Year, when Republicans scheduled the most controversial elements of their healthcare reform law to go into effect.

Trump’s ‘big, beautiful bill’ spending cuts will be fully felt next year, but hospitals are already feeling the squeeze

Maternity wards across the United States are facing a wave of closures as cuts to federal Medicaid funding take effect, experts have warned.

According to analysis by the non-profit Protect Our Care, 52 maternity wards have closed since the HR1 bill was announced in July 2025, with a further eight having announced their upcoming closure.