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.
The bill, which will fully come into effect in the new year, will result in many adults covered through Medicaid having to meet new work requirements and being subject to more frequent eligibility checks, while there will be less federal funding for states for Medicaid.
Hospitals which have already permanently closed their maternity wards include the Centra Southside Community hospital in Virginia and St Mary’s Sacred Heart hospital in rural north-east Georgia, which both cited upcoming federal policy changes to Medicaid as a reason.
Experts are expecting to see more closures of maternity units in the run-up to and after the federal changes to Medicaid come into effect in the new year.
“We’re deeply concerned that these changes already have and will continue to worsen an already serious maternity care crisis,” said Erin Jones, senior director of legislative and strategic counsel of the non-profit March of Dimes. “Reduced funding and restrictions on how states finance Medicaid will put additional pressure on state budgets and hospitals, increasing the risk that communities lose essential maternity services and specialized providers close to home.”
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