Hawaii hospitals are bracing for a financial hit from Medicaid cuts approved by Congress.

Due to changes written into the “big, beautiful bill” — or H.R.1 — signed by President Donald Trump on the Fourth of July, hospitals across the U.S., including Hawaii, are expecting a significant reduction in reimbursements after patients lose their health insurance.

“The Medicaid cuts will harm rural hospitals, especially, where a predominant number of our people are either on Medicare or Medicaid combined,” said Gov. Josh Green. “That’s a big deal. Now these cuts won’t kick in until early 2027, so we have time to adjust and to fortify ourselves against losing any people from coverage.”

An estimated 400,000 Hawaii residents, or nearly 30% of the state’s population, are currently enrolled in Med-QU

See Full Page