Rural Hospitals are critical for public health and thriving local economies.

Rural Hospitals provide:

  • emergency, primary and long-term care,

  • jobs for the local community

  • support for other local businesses

Without nearby care, seniors, veterans, and children go without.

Access to care should not depend on where you live.

Rural hospitals address community-wide issues and support underserved populations.

Rural patients should not have to face long travel times for treatment.

1 in 5 Medicaid recipients in Washington State are projected to lose their coverage.

Impact of Medicaid Cuts

Called AppleCare in Washington State

Disrupted access to care leads to a decline in an individual's behavioral and medical health.

Without consistent access to nearby care, vulnerable populations—including seniors, veterans, and children—are disproportionately affected and go without essential services.

This decline often results in a rise in expensive and preventable emergency room visits and hospitalizations.

Affordable Care Act Changes

Also called Obamacare

27%

of farmers and ranchers rely on the ACA for affordable healthcare

Risk Loss of Coverage:

  • You must annually update your personal information.

  • You must manually reenroll every year during. (no longer automatic)

  • period of enrollment ends December 15 (1 month shorter)

Costs will Double (average)

Other Insurance Price Hikes

2026, WA approved a rate increase for the exchange health insurance market

Drivers of Rising costs

  • High cost of specialty drugs and new technologies

  • More chronic disease due to an aging population

  • Hospital stays and services cost more due to labor costs

  • Tax credits that made coverage more affordable are set to expire at the end of 2025 

Cuts pose a significant threat to the rural communities.

Rural hospitals are often the largest employers in their counties and are vital to their local economies.

Medicaid cuts can force these essential institutions to close, reduce staff, or limit services.

The loss of medical jobs creates a domino effect, leading to a decline in other local services and businesses, from grocery stores to banks.

Cost Shifted, NOT Eliminated

This is not an elimination of cost. This financial burden is being forced onto state and local communities.

The federal government is projected to save an estimated $1 trillion on healthcare costs over the next ten years.