One of the main ways President Donald Trump’s signature law will save billions in the Medicaid program is through new work requirements. The Commonwealth Fund report said they’ll be particularly hard hit by the new work requirements. The Ohio Hospital Association in May told the legislature that half of Ohio hospitals and 72% of rural hospitals have reported operating losses since 2022. The Commonwealth Fund report said that under the new Medicaid work requirements, rural hospitals’ operating margins will decline by 28.8% to 32.8%. The Commonwealth Fund report estimates that the great majority of those who lose Medicaid coverage will become uninsured.