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Heavy lake-effect snow dumps more than 5 feet over parts of Great Lakes region; Study: Fish farms consume far more wild fish than previously thought; Maryland's federal workers prepare to defend their jobs; Federal investments help bolster MA workforce training programs.

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President-elect Trump's pick to lead the FBI says he'll eradicate the "deep state," Democrats say President Biden's pardon of his son could haunt them, and new allegations surface regarding the man Trump has tapped to lead the Pentagon.

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Residents in Colorado's rural communities face challenges to recycling, climate change and Oregon's megadrought are worrying firefighters, and a farm advocacy group says corporate greed is behind high food prices in Montana.

AL nonprofit urges Medicaid expansion to 'save rural hospitals'

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Wednesday, July 24, 2024   

An Alabama group is sounding the alarm about the need for Medicaid expansion, in part to keep rural hospitals in business.

Many hospitals in Alabama are becoming what's known as Emergency Rural Hospitals, reducing their services to emergency-only operations and eliminating inpatient care.

Debbie Smith, Cover Alabama campaign director for the group Alabama Arise, said it is largely due to financing, noting Medicaid reimbursement rates are too low to cover the cost of care.

She is particularly concerned without inpatient services, maternity care may be limited, sending women to other areas, even for routine care.

"A lot of women just can't afford to do that," Smith pointed out. "They don't have the transportation, or a lot of people would have to take off the full day of work just to go see the doctor. So, it's really concerning, and I think that's a real deterrent for people to even go see the OB/GYN and get their regular checkups, which can lead to a lot of issues down the line."

She emphasized the service cutbacks could also limit critical mental health and specialty care access across the state. Grove Hill Memorial Hospital in Clarke County is one of the latest to announce its move to Emergency Rural Hospital status. Hospitals in Bullock, Chambers and Monroe counties have done the same.

The Emergency Rural Hospital designation was created by Congress under the 2021 Consolidated Appropriations Act. It provides hospitals with higher reimbursement rates and financial assistance to help keep them afloat.

Smith believes one way to improve health outcomes is through Medicaid expansion.

"We have seen from other states that there's a much less likely chance of our rural hospitals closing in expansion states; it's proven," Smith asserted. "Medicaid expansion can really help with helping out on those costs and helping with uncompensated care costs."

Smith added Gov. Kay Ivey could use her executive authority to expand Medicaid. Alabama is one of only 10 states to have not done so, leaving nearly 300,000 people in the "coverage gap," who work but make too much money to qualify for Medicaid and not enough to afford traditional health insurance.

Disclosure: Alabama Arise contributes to our fund for reporting on Budget Policy and Priorities, Health Issues, and Poverty Issues. If you would like to help support news in the public interest, click here.


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