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Christine Capito Burch, Executive Director, NAPH

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PUBLIC HOSPITALS SUPPORT CONGRESSIONAL ACTION TO SAVE AMERICA'S HEALTH SAFETY NET

~ Resolution Would Reject Bush Administration's Policy of Slashing Billions from Medicaid Funds ~

March 2008

Washington, D.C. - A bill signed into law last May 25 included a one-year moratorium preventing the Bush Administration from cutting nearly $5 billion in Medicaid funding for safety net hospitals across the country over the next five years.

In a blatant disregard for this bill, the Bush Administration issued the final regulations that same day, authorizing the cuts. The Administration's actions have ignored Congress' clear rejection of the cuts and undercut lawmakers' attempt to protect hospitals from facing these cuts, allowing Congress more time to consider these significant Medicaid financing changes.

The Medicaid regulations explicitly target public and teaching hospitals by:

  • Imposing sweeping funding cuts totaling hundreds of millions of dollars that will force hospitals to eliminate vital services for patients;

  • Eliminating Medicaid payments for teaching costs in hospitals that train physicians across the country, at a time when there is a national shortage of physicians; and

  • Severely limiting how states finance Medicaid, leading to significant shortfalls in state budgets that will force states to cut services or impose taxes to make up the losses.

Safety net hospitals must now prepare for these cuts and make difficult decisions about curtailing or eliminating vital patient services. Without congressional action to extend the current moratorium, these policies could go into effect May 25, 2008.

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