Recently announced federal funding changes will significantly affect the health care industry over the next 10 years. Projections show a 10-year reduction of more than $1 trillion for health care nationally, with the state of Iowa anticipating a $9.5 billion reduction, according to a KFF analysis of the Congressional Budget Office’s (CBO) latest cost estimate. While UI Health Care is in a more stable financial position than many other academic health care systems across the country, adjustments to capital projects, needed to modernize its facilities, will be necessary.