Twenty-five states have introduced 79 bills to regulate this model of ownership, which critics say often relies on sale-leaseback deals to strip assets and extract fees. Steward Health Care, formerly the nation's largest private for-profit system, recently closed its safety net hospitals after filing for bankruptcy. These facilities now face additional pressure from projected federal Medicaid cuts of $1 trillion over the next 10 years, leaving them with thin margins and limited backup plans.
