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Rural Hospitals at Risk: Cuts to Medicaid Would Further Threaten Access

The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
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Fact Sheet: Medicaid

AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of the most vulnerable populations but also destabilize hospitals and health systems, leading to a loss of services that would impact patients and communities nationwide.
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Medicaid Spending Reductions Would Lead to Losses in Jobs, Economic Activity and Tax Revenue for States

The AHA’s analysis reflects the incremental economic impacts of Medicaid cuts across the entire program in each state, including spending on hospitals, physician offices, specialists and pharmacies.
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Medicaid Coverage Supports Rural Patients, Hospitals, and Communities

One in seven Americans live in rural areas and rely on rural hospitals and health systems for the health and well-being of their communities. Many in Congress are currently considering cuts to the Medicaid program, which could have a devastating impact on rural hospitals and patients.
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Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act

Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume.These programs are Medicare- dependent Hospitals (MDHs), Low-volume Adjustment (LVA) and Sole Community Hospitals (SCHs).
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Fact Sheet: Medicaid DSH Program

The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations, including children and those who are disabled and elderly. These hospitals also provide critical community services, such as trauma and burn care, maternal and child health, high-risk neonatal care and disaster preparedness resources.

Fact Sheet: Extending the Hospital-at-Home Program

The AHA supports the Hospital Inpatient Services Modernization Act (H.R. 8260/S. 4350) introduced in the House by Representatives Brad Wenstrup, R-Ohio, and Earl Blumenauer, D-Ore., and in the Senate by Senators Tom Carper, D-Del., and Tim Scott, R-S.C. The bill extends the H@H waiver for five years through the end of 2029.
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Fact Sheet: Telehealth Waivers

At the outset of the COVID-19 pandemic, the federal government moved quickly to ensure hospitals and health systems were able to leverage telehealth services to respond efficiently and effectively to a wave of unprecedented need.
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Fact Sheet: Enhanced Premium Tax Credits

In support of the health of our patients and communities, as well as the stability of the entire health care system, the AHA urges Congress to extend the enhanced premium tax credits.
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Fact Sheet: One Big Beautiful Bill Act Would Significantly Reduce Availability of Coverage in the Health Insurance Marketplaces

The House-passed One Big Beautiful Bill Act (OBBBA, H.R. 1) makes significant changes to the Affordable Care Act (ACA) marketplaces that would lead to millions of people losing their coverage and becoming uninsured.