Author Block: DANIEL R. HIMSWORTH, ALYSSA B. CABRERA, TREVON WRIGHT, JENISE C. WONG, ANANTA ADDALA, NICOLE RIOLES, Boston, MA, San Francisco, CA, Stanford, CA
Introduction and Objective: Recent federal budgetary changes may have implications for hospital finances and the ability to provide diabetes care. We sought to characterize the perceived economic impact among diabetes centers participating in T1DX-QI.
Methods: The T1DX-QI administered its annual survey to participating centers from August to October 2025. Centers identified federal policies that they perceive have impacted or are likely to impact hospital finances regarding diabetes care.
Results: A total of 61 diabetes centers completed the survey. Medicaid restrictions were the most frequently reported federal policy impacting hospital finances (n=49, 80%). Reported policies included Affordable Care Act modifications (71%), Medicare reimbursement changes (59%), and safety-net hospital funding changes (54%). Centers reported financial impacts related to H.R.1 (41%) and NIH funding reductions (36%).
Conclusion: Diabetes centers identified Medicaid-related policies and federal funding changes as concerns. The prevalent reporting of policy-related influences on diabetes center finances underscores the potential vulnerability of diabetes programs to shifts in federal health and funding policies and their ability to care for people who use Medicaid.
