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An American Hospital Association analysis  Medicaid provisions in the House-passed reconciliation bill would  in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years. In addition, 1.8 million individuals in rural communities would lose their Medicaid coverage by 2034. The analysis details the 10-year rural hospital financial impact and coverage loss by state. Research from the Cecil G. Sheps Center for Health Services Research, conducted at the request of Senate Democrats,  more than 300 rural hospitals would be at a disproportionate risk of closure, service reductions or ending inpatient care if the bill becomes law. An Annals of Internal Medicine analysis  the House-passed bill would result in more than 16,000 annual deaths. (AHA News , 6/16/25)