TBA Law Blog


Posted by: Julia Wilburn on Aug 7, 2025

Brown University's School of Public Health identified 579 nursing homes nationwide that are at risk of closure due to Medicaid cuts in the recently passed federal budget legislation. The bill reduces federal Medicaid spending by $1 trillion over the next decade. The Commercial Appeal reports that 12 of the nursing homes are in Tennessee. These facilities meet key risk criteria, including having over 85% of residents on Medicaid, occupancy rates below 80%, and low federal quality ratings. Tennessee’s TennCare program serves about 1.5 million residents, covering roughly 20% of the population and half of all children and births. The findings echo a separate University of North Carolina at Chapel Hill study, which listed nine Tennessee rural hospitals among more than 300 nationwide endangered by the budget reduction.