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Medicaid cuts are a time bomb for Kansas hospitals

Kansas has more rural hospitals at risk of closure than any other state. Changes at the federal level are further complicating the situation, leaving hospital officials planning for the future.

Under President Donald Trump's "Big Beautiful Bill," Medicaid reimbursement rates will start decreasing in 2028 — threatening the already-fragile ecosystem for rural hospitals. But as Noah Taborda of the Kansas News Service reports, a change to a Kansas tax will give struggling hospitals a few years of cushion to implement long-term strategies.

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Kansas City Today is hosted by Nomin Ujiyediin. It is produced by Byron Love, Jacob Smollen and KCUR Studios, and edited by Emily Younker, Madeline Fox and Gabe Rosenberg.

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As a newscaster and a host of a daily news podcast, I want to deliver the most important and interesting news of the day in an engaging and easily understandable way. No matter where you live in the metro or what you’re interested in, I want you to learn something from each newscast or podcast – and maybe even give you something to talk about at the dinner table.
Jacob Smollen is the 2025-2026 intern for KCUR Studios. Email him at jsmollen@kcur.org.
As an on-demand producer, I am focused on using my skills and experiences across multiple digital applications, platforms and media fields to create community focused audio, video and on-demand products for KCUR Studios. The media that I produce aims to inform, entertain and connect with the Kansas City metro area as we continue to learn from each other. Email me at byronlove@kcur.org.
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