Rural hospitals
Whether rural hospitals, their emergency rooms and maternity wards stay open, and how Medicaid and Medicare payments affect their finances.
What they call for
DemocratsRepublicans26 new members addressed this issue (with these filters). Many call for more than one thing.
Protect and strengthen rural hospitals so they stay open18Increase and protect funding for rural hospitals11Reverse or block Medicaid and other health care cuts that strain rural hospitals10Raise Medicare, Medicaid and other payments to rural hospitals7Expand Medicaid to help keep rural hospitals open3Recruit and keep doctors, nurses and EMTs at rural hospitals2Keep rural maternity wards open1
Protect and strengthen rural hospitals so they stay open
18 members“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.”View on their website ↗
“Keep rural hospitals open”View on their website ↗
“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.”View on their website ↗
“Increase support for rural hospitals and keep them open.”View on their website ↗
“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.”View on their website ↗
“close the coverage gap & keep rural hospitals open”View on their website ↗
“I'll also fight for the resources our rural hospitals need to stay open.”View on their website ↗
“Increase the Medicare and Medicaid reimbursement rates for hospitals so we can continue providing critical care in our rural communities.”View on their website ↗
“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.”View on their website ↗
“Champion rural hospitals and keep their doors open.”View on their website ↗
“Ensure that our rural hospitals can continue serving Montanans by increasing reimbursement rates for Medicare and Medicaid.”View on their website ↗
“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 ↗
“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 Legislature’s Health and Human Services Committee endorsed a bill from Senate President Troy Jackson, D-Allagash, to support rural hospitals on Friday.”View on their website ↗
“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 ↗
“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 ↗
“We deserve a congressman who will protect Medicaid, keep our rural hospitals open, and stand up to the big corporations driving up costs.”View on their website ↗
“Fight for independent and rural hospitals”View on their website ↗
“Support our rural hospitals”View on their website ↗
“When I get to Congress, I'll work with colleagues on both sides of the aisle to protect Medicaid funding and make sure our rural hospitals have the resources they need not just to survive, but to thrive.”View on their website ↗
“I will work with my colleagues on both sides of the aisle to restore the cuts to Medicaid that threaten our rural hospitals, and pass good, bipartisan legislation that will enable our hospitals to not only survive, but thrive.”View on their website ↗
Show the other 8 members
“Help rural hospitals stay open by restoring the $1 trillion Jen Kiggans and Donald Trump cut from Medicaid in order to give tax cuts to billionaires.”View on their website ↗
“Supported protecting rural hospitals: Identified legislation strengthening rural hospitals and improving healthcare access as part of his 2025 legislative priorities.”View on their website ↗
“While Donald Trump cut healthcare for working families, Mike has been fighting to save rural hospitals and health centers, and to enshrine the right to reproductive health for every woman in California.”View on their website ↗
“In Congress, I'll fight to pass Medicare for All and keep rural hospitals open.”View on their website ↗
“I will fight for funding so rural hospitals and clinics stay open. No family should drive hours just to see a doctor.”View on their website ↗
“Stop the constant attacks on healthcare access and keep rural hospitals open.”View on their website ↗
“I will work to expand Medicaid, keep rural hospitals open, and stop politicians from ripping coverage away. Healthcare is a right, not a bargaining chip.”View on their website ↗
“I know what it is like to struggle to afford insurance, and I support bringing back that health care funding to bring down premium prices and save rural hospitals.”View on their website ↗
“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 ↗
“Protected rural hospitals by approving the establishment of the State Office of Rural Hospital Finance and the Texas Rural Hospital Officers Academy.”View on their website ↗
“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.”View on their website ↗
“Save rural hospitals and expand access to telehealth.”View on their website ↗
“I’m committed to expanding affordable health care options, lowering prescription drug costs, protecting reproductive freedom, and strengthening mental health resources. That also means protecting rural hospitals that serve as lifelines in our communities and ensuring strong federal oversight of the FDA and the Department of Health and Human Services so that safety, transparency, and accountability are never compromised. Health care is not a privilege. It is a necessity, and our policies must reflect that.”View on their website ↗
Increase and protect funding for rural hospitals
11 members“Boost funding for federally qualified health centers and rural hospitals”View on their website ↗
“I'll also fight for the resources our rural hospitals need to stay open.”View on their website ↗
“Reverse Medicaid and Affordable Care Act cuts and fund rural hospitals.”View on their website ↗
“I’ll reverse Republicans’ healthcare cuts and invest in our rural hospitals.”View on their website ↗
“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 ↗
“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.”View on their website ↗
“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.”View on their website ↗
“When I get to Congress, I'll work with colleagues on both sides of the aisle to protect Medicaid funding and make sure our rural hospitals have the resources they need not just to survive, but to thrive.”View on their website ↗
“I’ll fight to lower prescription drug costs, cap insulin prices, expand access to generic drugs and restore funding for rural and suburban hospitals.”View on their website ↗
“Fully fund rural hospitals so care is never hours away.”View on their website ↗
“I will fight for funding so rural hospitals and clinics stay open. No family should drive hours just to see a doctor.”View on their website ↗
“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 ↗
“Fight for full funding of rural hospitals and community health centers”View on their website ↗
“Protect funding for rural hospitals and infrastructure”View on their website ↗
Reverse or block Medicaid and other health care cuts that strain rural hospitals
10 members“Immediately reverse the Medicaid cuts that will kick more than 100,000 Iowans off their health care and close rural hospitals and nursing homes”View on their website ↗
“Reversing the Medicaid cuts that will devastate Iowa families, nursing homes, and rural hospitals.”View on their website ↗
“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.”View on their website ↗
“To make healthcare accessible and affordable, we need to roll back the massive Medicaid cuts Zach Nunn voted for this year, which will cause 86,000 Iowans to lose their health insurance, and close rural hospitals and clinics.”View on their website ↗
“Congressman Nunn voted to cut Medicaid and then told Iowans it was a myth that rural hospitals would be in trouble. It is not a myth in Red Oak. I will work to restore that funding, because when a small town loses its hospital, it loses the doctors, the nurses, the jobs and the reason young families stay.”View on their website ↗
“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.”View on their website ↗
“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 ↗
“Reverse the Medicaid cuts supported by Lauren Boebert that threaten rural hospitals and disproportionately affect communities where access to care is already limited”View on their website ↗
“When I get to Congress, I'll work with colleagues on both sides of the aisle to protect Medicaid funding and make sure our rural hospitals have the resources they need not just to survive, but to thrive.”View on their website ↗
“I will work with my colleagues on both sides of the aisle to restore the cuts to Medicaid that threaten our rural hospitals, and pass good, bipartisan legislation that will enable our hospitals to not only survive, but thrive.”View on their website ↗
“And on Medicaid, I will oppose any effort to throw the over 100,000 residents of CD2 off a system helping them survive and keeping our rural hospitals afloat.”View on their website ↗
“Help rural hospitals stay open by restoring the $1 trillion Jen Kiggans and Donald Trump cut from Medicaid in order to give tax cuts to billionaires.”View on their website ↗
“Healthcare today costs too much. Everyone, regardless of their insurance coverage, feels the pinch when millions of people lose access to healthcare. Rural healthcare facilities across Southern Arizona are especially at risk because of the cuts in the One Big Beautiful Bill. That’s why JoAnna will work to reverse disastrous cuts to healthcare, including to AHCCCS and enhanced Affordable Care Act (ACA) subsidies.”View on their website ↗
“I’ll fight to lower prescription drug costs, cap insulin prices, expand access to generic drugs and restore funding for rural and suburban hospitals.”View on their website ↗
“I know what it is like to struggle to afford insurance, and I support bringing back that health care funding to bring down premium prices and save rural hospitals.”View on their website ↗
Raise Medicare, Medicaid and other payments to rural hospitals
7 members“I support the bipartisan Save Struggling Hospitals Act, which corrects a Medicare funding formula that currently shortchanges hospitals in lower-wage areas, including many of the rural hospitals serving District 4.”View on their website ↗
“Increase the Medicare and Medicaid reimbursement rates for hospitals so we can continue providing critical care in our rural communities.”View on their website ↗
“Ensure that our rural hospitals can continue serving Montanans by increasing reimbursement rates for Medicare and Medicaid.”View on their website ↗
“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 ↗
“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 ↗
“Pass legislation requiring insurers to fairly and promptly reimburse rural hospitals, cutting the enormous administrative costs of fighting endless denials”View on their website ↗
“We need to ensure that reimbursement rates are fair, and that rural hospitals are given the same pricing point for medical supplies that their larger counterparts are given.”View on their website ↗
“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 ↗
Expand Medicaid to help keep rural hospitals open
3 members“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.”View on their website ↗
“I’ll also work to expand access to Medicaid in our rural communities, where hospitals are closing and too many families are going without care.”View on their website ↗
“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.”View on their website ↗
Recruit and keep doctors, nurses and EMTs at rural hospitals
2 members“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 ↗
“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“MaineHealth must vote to keep Miles Labor & Delivery open.”View on their website ↗
Raised the issue without a specific call
1 member“The truth is that today, healthcare costs are crushing families and in rural areas all across the country hospitals are in danger of having to close their doors. We have to rethink how we provide actually affordable healthcare to more people.”View on their website ↗
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