{"id":22396,"date":"2025-06-12T10:25:32","date_gmt":"2025-06-12T14:25:32","guid":{"rendered":"https:\/\/www.merkley.senate.gov\/?p=22396"},"modified":"2026-01-28T16:34:29","modified_gmt":"2026-01-28T21:34:29","slug":"markey-leader-schumer-wyden-merkley-release-data-detailing-hundreds-of-rural-hospitals-across-u-s-at-risk-due-to-republican-health-care-cuts","status":"publish","type":"post","link":"https:\/\/www.merkley.senate.gov\/es\/markey-leader-schumer-wyden-merkley-release-data-detailing-hundreds-of-rural-hospitals-across-u-s-at-risk-due-to-republican-health-care-cuts\/","title":{"rendered":"Markey, el l\u00edder Schumer, Wyden y Merkley publican datos que detallan que cientos de hospitales rurales en EE. UU. est\u00e1n en riesgo debido a los recortes republicanos a la atenci\u00f3n m\u00e9dica."},"content":{"rendered":"\n<p class=\"has-text-align-center\"><em>Over 300 Rural Hospitals at Disproportionate Risk of Closure, Conversion, or Service Reductions<\/em><\/p>\n\n\n\n<p class=\"has-text-align-center\"><em>Lawmakers Also Provided Data to President Trump, Leader Thune, and Speaker Johnson in Letter<\/em><\/p>\n\n\n\n<p class=\"has-text-align-center\"><a href=\"https:\/\/www.markey.senate.gov\/imo\/media\/doc\/letter_on_rural_hospitals.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>Letter and Data<\/em><\/strong><\/a><strong><em> | <\/em><\/strong><a href=\"https:\/\/www.markey.senate.gov\/imo\/media\/doc\/sheps_response.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>Sheps Response<\/em><\/strong><\/a><\/p>\n\n\n\n<p>Washington (June 12, 2025) \u2013 Following House Republicans\u2019 passage of a bill that would impose the largest cuts to health care in U.S. history, slashing funding for Medicaid and the <em>Affordable Care Act <\/em>by more than $1 trillion and triggering more than $500 billion in Medicare cuts, Senator Edward J. Markey (D-Mass.), Ranking Member of the Health, Education, Labor, and Pensions (HELP) Subcommittee on Primary Health and Retirement Security, Democratic Leader Chuck Schumer (D-N.Y), Senator Ron Wyden (D-Ore.), Ranking Member of the Finance Committee, and Senator Jeff Merkley (D-Ore.), Ranking Member of the Budget Committee, released detailed data fromthe Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill concluding that <strong>Republican health care cuts could place over 300 rural hospitals across the U.S. at disproportionate risk of closure, conversion, or service reductions<\/strong>. The data is based on financial indicators including: share of Medicaid patients served, previous years of negative total margins, and data modeling on future financial distress.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>The lawmakers also sent the data in a letter to President Trump, Leader John Thune, and Speaker Mike Johnson, writing<\/strong>, \u201cAddressing the crisis in rural health care access is a national, bipartisan priority, and it should be bipartisan to not worsen that crisis. However, if your party passes these health care cuts into law, Americans in rural communities across the country risk losing health care services and jobs supported by their local hospitals. We urge you to read the attached report and reconsider your position. It is not too late to stop these cuts. Billionaire tax breaks are not worth the cost to American lives and livelihoods.\u201d<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>The response from the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill states<\/strong>, \u201cSubstantial cuts to Medicaid or Medicare payments could increase the number of unprofitable rural hospitals and elevate their risk of financial distress. In response, hospitals may be forced to reduce service lines, convert to a different type of health care facility, or close altogether.\u201d The data shows the following regarding at-risk rural hospitals:<\/p>\n<\/blockquote>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Over 338 rural hospitals<\/strong> are at particular risk of closure, conversion, or service reduction from substantial health care cuts because the hospitals either take a high relative share of Medicaid patients, or have experienced 3 years of negative total margins, or both. This includes <strong>33 hospitals in Louisiana, 35 hospitals in Kentucky, and 21 hospitals in Oklahoma<\/strong>.<\/li>\n\n\n\n<li><strong>In Alaska<\/strong>, 4 rural hospitals \u2013 more than 40 percent of rural hospitals with available data &#8211; serve high concentrations of Medicaid patients.<\/li>\n\n\n\n<li><strong>In West Virginia, <\/strong>nearly a quarter of rural hospitals are serving high concentrations of Medicaid patients, and 15 percent of rural hospitals are at the highest relative risk of financial distress.<\/li>\n\n\n\n<li><strong>In Alabama,<\/strong> 8 rural hospitals \u2013 nearly 20 percent of rural hospitals with available data \u2013 are in the highest relative risk category of financial distress.<\/li>\n\n\n\n<li><strong>In Tennessee,<\/strong> 9 rural hospitals \u2013 or 18 percent of rural hospitals in the state with available data \u2013 have experienced 3 years of negative total margins, and 9 rural hospitals are at highest relative risk of financial distress.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>In the face of these Republican cuts, a majority of adults living in rural areas are <a href=\"https:\/\/www.kff.org\/medicaid\/poll-finding\/kff-health-tracking-poll-the-publics-views-of-funding-reductions-to-medicaid\/\" target=\"_blank\" rel=\"noreferrer noopener\">concerned<\/a> that health care cuts will \u201cnegatively impact hospitals, nursing homes, and other health care providers in [their] community.\u201d Rural hospitals are struggling; in 2023, there <a href=\"https:\/\/www.kff.org\/key-facts-about-hospitals\/?entry=national-hospital-spending-national-spending-on-hospital-care\" target=\"_blank\" rel=\"noreferrer noopener\">were<\/a> 50 fewer rural hospitals than in 2017, and a lack of health care access in rural America is <a href=\"https:\/\/www.washingtonpost.com\/politics\/2024\/04\/15\/rural-americans-are-way-more-likely-die-young-why\/\" target=\"_blank\" rel=\"noreferrer noopener\">contributing<\/a> to worse health outcomes. Faced with additional cuts to their revenue, many rural hospitals may be <a href=\"https:\/\/ers.usda.gov\/sites\/default\/files\/_laserfiche\/publications\/110766\/ERR-344.pdf?v=54249\" target=\"_blank\" rel=\"noreferrer noopener\">forced<\/a> to stop providing certain services, including obstetric, mental health, and emergency room care, convert to clinics or standalone emergency centers, or close altogether. Rural hospitals are often the largest employers in rural communities, and when a rural hospital closes or scales back their services, communities are not only <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jrh.12810\" target=\"_blank\" rel=\"noreferrer noopener\">forced<\/a> to grapple with losing access to health care, but also with job loss and the resulting financial insecurity.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cIf Republicans plan to pass drastic cuts to Medicaid and Medicare and effectively repeal the <em>Affordable Care Act<\/em>, communities should know exactly what they stand to lose,\u201d <strong>said Senator Markey<\/strong>. \u201cThese health care cuts won\u2019t just kick millions off their insurance. These cuts will plunge hospitals across the country into financial chaos, and as this data demonstrates, hundreds of rural hospitals across the country may be forced to stop providing care, limit their services, or close altogether. If hospitals close, many rural communities will lose the biggest employer they have. Seniors, the disabled, and pregnant people will have to travel farther to access care. Families will lose access to care. People will die. The more information we have about this bill, the worse it seems. No life or job is worth a yes vote on this big billionaire bill. We must make sure every American can see how Republicans are willing to pay for billionaire tax breaks with people\u2019s lives, and we must defeat this ugly bill.\u201d<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cAs this report proves, the Republicans\u2019 \u2018Big, Ugly Betrayal\u2019 is a matter of life and death for millions of Americans. The cruel and far-reaching cuts to Medicaid and the Affordable Care Act are putting hundreds of rural hospitals at risk of closure, limiting services, or mass layoffs,\u201d <strong>said Leader Schumer<\/strong>. \u201cRural Americans already face more obstacles to getting healthcare and many are the lifeblood and major employers of their communities, all of which Republicans are risking to pay for tax cuts for billionaires.\u201d<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cAs I hold town hall meetings in each of Oregon\u2019s 36 counties, I frequently hear about struggles folks have in accessing health care in their communities. This isn\u2019t a red state or blue state issue. Medicaid helps every state \u2013 especially rural communities,\u201d <strong>said Senator Merkley<\/strong>. \u201cMore than 300 rural hospitals will be at risk of shutting down \u2013 in Oregon and across the country \u2013 if Republicans betray middle class families and make these drastic cuts to Medicaid, all so that billionaires can pay less in taxes. This is the Republican plan: families lose, and billionaires win.\u201d<\/p>\n<\/blockquote>\n\n\n\n<p>The lawmakers sent a <a href=\"https:\/\/www.markey.senate.gov\/news\/press-releases\/markey-leader-schumer-wyden-merkley-seek-information-on-republican-reconciliation-bills-potential-to-close-rural-hospitals\" target=\"_blank\" rel=\"noreferrer noopener\">letter<\/a> to the Sheps Center director on June 4, 2025, requesting the Center\u2019s expert analysis of how this bill will impact rural hospitals and the communities they serve, particularly inquiring about which rural hospitals in the country treat the highest share of Medicaid recipients; how many rural hospitals are currently in financial distress or at risk of closure; and if the health care cuts in the House-passed budget reconciliation bill were to become law, would the rural hospitals with the highest share of Medicaid recipients or that are currently in financial distress face risk of closure or have to reduce services.<\/p>\n\n\n\n<p class=\"has-text-align-center\">###<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Over 300 Rural Hospitals at Disproportionate Risk of Closure, Conversion, or Service Reductions Lawmakers Also Provided Data to President Trump, Leader Thune, and Speaker Johnson in Letter Letter and Data | Sheps Response Washington (June 12, 2025) \u2013 Following House Republicans\u2019 passage of a bill that would impose the largest cuts to health care in [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":18848,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[24],"tags":[139,37,36],"class_list":["post-22396","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-releases","tag-budget","tag-health-care","tag-natural-resources-and-rural-development"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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