Nashville, Tenn.-based HCA Healthcare could face up to a $1.4 billion financial impact from policy reforms and uncertainty in 2026.
HCA CFO Mike Marks said on the company’s Jan. 27 earnings call that HCA expects an earnings before interest, taxes, depreciation and amortization reduction of $600 million to $900 million from the expiration of enhanced ACA tax credits and reforms included in the One Big Beautiful Bill Act.
He added that HCA also expects a $250 million to $450 million decline in net benefits tied to Medicaid supplemental payment program changes in Tennessee, a pause in a Texas program and an earlier-than-expected payment from Virginia.
Source: HCA faces up to $1.4B hit from ACA, Medicaid headwinds / Becker’s Dental