Boulder City Hospital is set to lay off approximately 70 employees and end several services, including stays longer than 24 hours, as it transitions from a critical access hospital to a rural emergency hospital. The move is due to financial issues facing the small, independent facility. The hospital's CEO, Thomas Maher, attributed the restructuring to funding changes in the Big, Beautiful Bill, which significantly decreased Medicaid funding. The designation comes with financial incentives, including a 5% bonus for outpatient services and a subsidy of about $3.5 million a year for the skilled nursing rehabilitation program.