Rural hospitals

Whether rural hospitals, their emergency rooms and maternity wards stay open, and how Medicaid and Medicare payments affect their finances.

Protect and strengthen rural hospitals so they stay open

6 members
Annie Andrews
Senate · South Carolina · Democrat
“We need to enact legislation that lowers healthcare costs in South Carolina, including reducing drug prices, expanding access to Medicaid, and protecting our rural hospitals.”
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“Keep rural hospitals open”
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“That’s why I’m launching my Patients and Prices Plan: to lower healthcare costs, protect our rural hospitals, strengthen veterans’ care and put patients back at the center of our healthcare system.”
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“Increase support for rural hospitals and keep them open.”
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“She outlined her plans to take on insurance companies and Big Pharma, protect rural hospitals, suspend gas and diesel taxes, and stop data centers from passing their costs onto families.”
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Roy Cooper
Senate · North Carolina · Democrat
“Roy has been laser-focused on lowering health care costs for North Carolinians. In 2023, he assembled a bipartisan coalition to expand Medicaid for hundreds of thousands of working North Carolinians, lowering costs for everyone. Nearly 715,000 people are now covered because of Medicaid expansion. Medicaid expansion also provided a lifeline for rural communities, bringing an influx of critical federal funding to help keep rural hospitals and emergency rooms open. Roy also created a first-in-the-nation solution to help relieve more than $6.5 billion in medical debt for over 2.5 million North Carolinians, many of whom are in debt because insurance companies refused to pay legitimate medical bills, and to prevent this debt from accruing in the future.”
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Adam Hamilton
Senate · Kansas · Democrat
“Protect and invest in rural hospitals. Kansas has more rural hospitals at immediate risk of closing than any other state — roughly two-thirds are at risk overall — largely because insurers, including Medicare Advantage, don’t pay enough to cover the cost of care. A rural hospital is often a county’s largest employer and its only nearby emergency room, and studies find that closing one raises deaths from time-sensitive emergencies like heart attacks and strokes by about 10%. The squeeze is sharpest in childbirth, where only about a third of rural Kansas hospitals still deliver babies. Reversing the Medicaid cuts would help, but Adam would go further to fix the underpayment and keep these hospitals’ doors open.”
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Troy Jackson
Senate · Maine · Democrat
“The Legislature’s Health Coverage, Insurance and Financial Services Committee unanimously approved a bill from Senate President Troy Jackson, D-Allagash, to support rural hospitals by facilitating the hiring of emergency medical technicians on Tuesday.”
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“The Legislature’s Health and Human Services Committee endorsed a bill from Senate President Troy Jackson, D-Allagash, to support rural hospitals on Friday.”
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“A bill from Senate President Troy Jackson, D-Allagash, to support rural hospitals received a public hearing before the Legislature’s Health and Human Services Committee on Friday. LD 1350, “An Act To Improve Rural Health Care,” would increase the reimbursement rate for rural hospitals and health clinics.”
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“The Maine Senate unanimously enacted legislation from Senate President Troy Jackson, D-Allagash, to support rural hospitals by facilitating the hiring of emergency technicians on Tuesday.”
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James Talarico
Senate · Texas · Democrat
“Save rural hospitals: Prioritize recruiting and retaining rural health care workers, improve Medicaid and Medicare reimbursement rates to more swiftly deliver payments to hospitals, and make sure rural hospitals have the funding they need to continue to serve as vital employers and health care providers.”
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“Protected rural hospitals by approving the establishment of the State Office of Rural Hospital Finance and the Texas Rural Hospital Officers Academy.”
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Josh Turek
Senate · Iowa · Democrat
“We can’t afford more rural health care closures – not in the only state with a growing cancer rate. I believe health care is a human right, and every Iowan deserves accessible and affordable care. That’s what I’ll fight for when I’m Iowa’s next Senator.”
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“Save rural hospitals and expand access to telehealth.”
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Increase and protect funding for rural hospitals

4 members
Annie Andrews
Senate · South Carolina · Democrat
“Boost funding for federally qualified health centers and rural hospitals”
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Adam Hamilton
Senate · Kansas · Democrat
“Protect and invest in rural hospitals. Kansas has more rural hospitals at immediate risk of closing than any other state — roughly two-thirds are at risk overall — largely because insurers, including Medicare Advantage, don’t pay enough to cover the cost of care. A rural hospital is often a county’s largest employer and its only nearby emergency room, and studies find that closing one raises deaths from time-sensitive emergencies like heart attacks and strokes by about 10%. The squeeze is sharpest in childbirth, where only about a third of rural Kansas hospitals still deliver babies. Reversing the Medicaid cuts would help, but Adam would go further to fix the underpayment and keep these hospitals’ doors open.”
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Troy Jackson
Senate · Maine · Democrat
“In Augusta, Troy has emerged as a health care champion, spearheading legislation to lower the cost of prescription drugs, increase access to care and fund rural hospitals.”
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“A proposal from Senate President Troy Jackson, D-Allagash, to fund rural hospitals and ambulance services was signed into law by Gov. Janet Mills on Tuesday.”
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James Talarico
Senate · Texas · Democrat
“Save rural hospitals: Prioritize recruiting and retaining rural health care workers, improve Medicaid and Medicare reimbursement rates to more swiftly deliver payments to hospitals, and make sure rural hospitals have the funding they need to continue to serve as vital employers and health care providers.”
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Raise Medicare, Medicaid and other payments to rural hospitals

3 members
Adam Hamilton
Senate · Kansas · Democrat
“Protect and invest in rural hospitals. Kansas has more rural hospitals at immediate risk of closing than any other state — roughly two-thirds are at risk overall — largely because insurers, including Medicare Advantage, don’t pay enough to cover the cost of care. A rural hospital is often a county’s largest employer and its only nearby emergency room, and studies find that closing one raises deaths from time-sensitive emergencies like heart attacks and strokes by about 10%. The squeeze is sharpest in childbirth, where only about a third of rural Kansas hospitals still deliver babies. Reversing the Medicaid cuts would help, but Adam would go further to fix the underpayment and keep these hospitals’ doors open.”
View on their website ↗
Troy Jackson
Senate · Maine · Democrat
“A bill from Senate President Troy Jackson, D-Allagash, to support rural hospitals received a public hearing before the Legislature’s Health and Human Services Committee on Friday. LD 1350, “An Act To Improve Rural Health Care,” would increase the reimbursement rate for rural hospitals and health clinics.”
View on their website ↗
James Talarico
Senate · Texas · Democrat
“Save rural hospitals: Prioritize recruiting and retaining rural health care workers, improve Medicaid and Medicare reimbursement rates to more swiftly deliver payments to hospitals, and make sure rural hospitals have the funding they need to continue to serve as vital employers and health care providers.”
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Reverse or block Medicaid and other health care cuts that strain rural hospitals

2 members
Peggy Flanagan
Senate · Minnesota · Democrat
“More than a million Minnesotans, including people with disabilities, seniors, and children, rely on Medicaid. The providers they see, including rural hospitals, mental health clinics, and nursing homes, rely on Medicaid. Peggy will fight to restore the inhumane cuts to Minnesotans’ healthcare made by Donald Trump and Republicans.”
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Adam Hamilton
Senate · Kansas · Democrat
“Reverse the cuts to Medicaid and restore the ACA subsidies that hold premiums down. Two changes are raising health care costs for Kansas families at the same time. Kansas families are being squeezed from both sides. Deep federal Medicaid cuts are projected to drain up to $3.77 billion from KanCare and cost about 13,000 Kansans their coverage over the next decade. That would fall hardest on rural hospitals, and Kansas already has more hospitals at immediate risk of closing than any other state. At the same time, the end of enhanced ACA premium tax credits has made a typical subsidized Kansan’s monthly premium jump by more than half for 2026 — the steepest increase since the marketplace began. Because Kansas never expanded Medicaid, about 28,000 working Kansans are already stuck in the coverage gap: too well-off for KanCare, too poor for marketplace help.”
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“Protect and invest in rural hospitals. Kansas has more rural hospitals at immediate risk of closing than any other state — roughly two-thirds are at risk overall — largely because insurers, including Medicare Advantage, don’t pay enough to cover the cost of care. A rural hospital is often a county’s largest employer and its only nearby emergency room, and studies find that closing one raises deaths from time-sensitive emergencies like heart attacks and strokes by about 10%. The squeeze is sharpest in childbirth, where only about a third of rural Kansas hospitals still deliver babies. Reversing the Medicaid cuts would help, but Adam would go further to fix the underpayment and keep these hospitals’ doors open.”
View on their website ↗

Expand Medicaid to help keep rural hospitals open

2 members
Roy Cooper
Senate · North Carolina · Democrat
“Roy has been laser-focused on lowering health care costs for North Carolinians. In 2023, he assembled a bipartisan coalition to expand Medicaid for hundreds of thousands of working North Carolinians, lowering costs for everyone. Nearly 715,000 people are now covered because of Medicaid expansion. Medicaid expansion also provided a lifeline for rural communities, bringing an influx of critical federal funding to help keep rural hospitals and emergency rooms open. Roy also created a first-in-the-nation solution to help relieve more than $6.5 billion in medical debt for over 2.5 million North Carolinians, many of whom are in debt because insurance companies refused to pay legitimate medical bills, and to prevent this debt from accruing in the future.”
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Troy Jackson
Senate · Maine · Democrat
“Medicaid expansion is essential to keeping the doors on our rural hospitals open, providing individuals with the tools to combat addiction, and stabilizing health care costs for everyone. Not to mention, it will provide health care coverage to an estimated 70,000 Mainers.”
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Recruit and keep doctors, nurses and EMTs at rural hospitals

2 members
Troy Jackson
Senate · Maine · Democrat
“The Legislature’s Health Coverage, Insurance and Financial Services Committee unanimously approved a bill from Senate President Troy Jackson, D-Allagash, to support rural hospitals by facilitating the hiring of emergency medical technicians on Tuesday.”
View on their website ↗
“The Maine Senate unanimously enacted legislation from Senate President Troy Jackson, D-Allagash, to support rural hospitals by facilitating the hiring of emergency technicians on Tuesday.”
View on their website ↗
James Talarico
Senate · Texas · Democrat
“Save rural hospitals: Prioritize recruiting and retaining rural health care workers, improve Medicaid and Medicare reimbursement rates to more swiftly deliver payments to hospitals, and make sure rural hospitals have the funding they need to continue to serve as vital employers and health care providers.”
View on their website ↗

Keep rural maternity wards open

1 member
Troy Jackson
Senate · Maine · Democrat
“MaineHealth must vote to keep Miles Labor & Delivery open.”
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