Mike Rogers, the Republican nominee for U.S. Senate in Michigan, celebrated the One Big Beautiful Bill Act on July 3, 2025, the same day the Michigan Health & Hospital Association said the law will cost Michigan hospitals more than $6 billion in Medicaid funding over ten years. Hillsdale Hospital now expects about $6 million a year in losses, and researchers put three other Michigan hospitals at risk of closure.
Rogers backed the law's Medicaid work requirement and promoted its rural health fund at a Lapeer County visit, but federal rules let states pay only 15% of that money to hospitals and other providers. He said rural hospitals had adequate protection, in the Iron Mountain Daily News's paraphrase.
What It Cost: Hillsdale Hospital and Michigan's Other Hospitals Under the Law Mike Rogers Praised
- Hillsdale Hospital. Hillsdale Hospital expects roughly $6 million in annual losses from the federal Medicaid cuts, and departments like pregnancy care and mental health are the first services to go when margins get thin, WILX reported in April 2026; the hospital's CEO, JJ Hodshire, asked Congress to reverse the cuts.
- Hospitals at high risk. Public Citizen, a progressive watchdog group, lists Hurley Medical Center in Flint, Sinai-Grace Hospital in Detroit and Hillsdale Hospital among Michigan hospitals at high risk of closing or cutting services under the law's Medicaid changes.
- Hospital payments. About $2.6 billion a year in Michigan hospital payments directed by the state sit above the law's new limits and must be phased down starting in 2028, by KFF's estimate.
- Rural Medicaid. Federal Medicaid spending in rural Michigan falls by about $5.6 billion over ten years, while Michigan's first-year award from the rural health fund came to $83 per rural resident, by KFF's figures.
Mike Rogers's Statements on the Law's Medicaid Cuts and Michigan's Rural Hospitals
- Rogers Celebrated the Law the Michigan Hospital Association Said Will Cost Michigan Hospitals More Than $6 Billion. Mike Rogers posted "Historic tax cuts for hard-working families! It's a great day to be an American!" on July 3, 2025, the day the House gave the One Big Beautiful Bill Act final approval. That endorsement covers the law's limits on the provider taxes and state-directed payments that fund hospital care, which KFF counts as $340 billion of its federal Medicaid savings. The same day, the Michigan Health & Hospital Association said the law will cost Michigan hospitals more than $6 billion in total Medicaid funding over the next ten years and will increase uncompensated care as patients lose coverage. KFF estimates the law cuts federal Medicaid spending in rural areas by $137 billion over ten years.
- Rogers Backed the Medicaid Work Requirement That Michigan Says Could End Coverage for Up to 200,000 People. Mike Rogers told The Washington Reporter, a conservative publication, in August 2025 that "we also have to ask you to help yourself, if you're an able-bodied worker," as MIRS reported on January 13, 2026. Under the law, adults in the Medicaid expansion must report 80 hours a month of work or other activities starting no later than January 1, 2027. The Whitmer administration estimates up to 200,000 Michigan residents will lose coverage under the new requirements, Bridge Michigan reported, and the hospital association warned that coverage losses mean more uncompensated care for hospitals.
- Rogers Promoted the Law's Rural Hospital Fund in Lapeer; Few of Its Dollars Reach Hospitals. After meeting hospital leaders in Lapeer County, Mike Rogers said in a video his campaign posted on October 22, 2025 that "they passed $50 billion to help rural hospitals that desperately need it," and in January 2026 he praised the fund's "$173 million for Michigan alone" to the Michigan Advance. Federal rules limit states to using 15% of federal funding awarded for payments to providers such as hospitals, the Georgetown University Center for Children and Families reported, and a Michigan rural hospital leader told Bridge Michigan, "Very few of those dollars are actually going to hospitals." KFF estimates the fund could offset a little over a third (37%) of the law's rural Medicaid cut.
- Rogers Said Rural Hospitals Had "Adequate Protection"; Researchers Put Three Michigan Hospitals at Risk of Closure. Asked in August 2025 about concerns that the One Big Beautiful Bill Act would hurt rural hospitals, Mike Rogers said he believes there's adequate protection, the Iron Mountain Daily News reported on August 12, 2025 (a paraphrase). University of North Carolina researchers identified more than 300 rural hospitals at risk of closure or service cuts under the law, including three in Michigan: McLaren Central Michigan in Mount Pleasant, University of Michigan Health-Sparrow Carson City Hospital and Ascension Borgess-Lee Hospital in Dowagiac, Michigan Public reported.
- Rogers Wrote That Michigan's Rural Hospitals Received $173 Million; the Law Takes Billions From Rural Michigan's Medicaid. In an April 15, 2026 op-ed, Mike Rogers wrote that "Michigan alone received $173 million for our rural hospitals" under the One Big Beautiful Bill Act. That sum is Michigan's first-year award for the whole state, $83 per rural resident, while KFF estimates the law cuts federal Medicaid spending in rural Michigan by about $5.6 billion over ten years.
Frequently Asked Questions About Mike Rogers on Michigan rural hospitals
What is Mike Rogers's record on Michigan's rural hospitals under Trump?
Mike Rogers, the Republican nominee for U.S. Senate in Michigan, celebrated the One Big Beautiful Bill Act on July 3, 2025, the day the Michigan Health & Hospital Association warned the law would cut Michigan hospitals' Medicaid funding. He backed its Medicaid work requirement, promoted its rural health fund, and said rural hospitals had adequate protection (a paraphrase by the Iron Mountain Daily News), while researchers put three Michigan hospitals at risk of closure.
What do Michigan hospital leaders say about the Medicaid cuts Mike Rogers praised?
Michigan hospital leaders have warned about the Medicaid cuts in the law Mike Rogers praised: Hillsdale Hospital CEO JJ Hodshire said in April 2026, "We're talking about issues of life and death," WILX reported. The Michigan Health & Hospital Association's Adam Carlson told the station that as the cuts deepen, "there is not going to be enough resources to protect Medicaid at the state level."
When do the hospital cuts in the law Mike Rogers praised take effect?
The Medicaid changes in the law Mike Rogers praised phase in over several years: the work requirement must start by January 1, 2027, and starting January 1, 2028, payment rates for hospital services will decrease in at least 37 states with directed payments above the new limits, KFF reports. Michigan is one of the states whose directed hospital payments exceed the limits.
Last updated: 2026-10-25