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Rural Hospitals at Risk: Cuts to Medicaid Would Further Threaten Access
The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
Rural Health Services
Over 57 million rural Americans depend on their hospital as an important source of care as well as a critical component of their area's economic and social fabric. Location, size, workforce, payment and access to capital challenge small or rural hospitals and the communities they serve. Collaborating with state and regional hospital associations and with advice from its member council, the Section tracks the issues, develops policies and identifies solutions to our most pressing problems.
Rural Behavioral Health
The AHA supports its members as they strive to provide high quality, accessible behavioral health services in America’s rural communities.
Better Health for Mothers and Babies Webinar Series: Core Principles in Action
This 4-part webinar series showcases hospitals and health care organizations putting each principle into action to improve outcomes.
Update: Congress Passes Health Care Funding, Extends Key Health Care Provisions
Congress has passed the Consolidated Appropriations Act of 2026 (H.R.7148), which consists of a short-term continuing resolution for the Department of Homeland Security (DHS) appropriations bill and a package of five full-year appropriations bills, containing conferenced legislation for the Departments of Defense, Labor, Health and Human Services, Education,
Legislation and Legislative Advocacy, Medicaid, Medicare, Medicare Sequestration Payment Reductions, Cybersecurity, Rural issues, Workforce, Child and Adolescent Health, Maternal Health, Medical Education and Research, Access to Behavioral Health, Substance Use Disorder, Disaster Preparedness, 340B Drug Pricing Program
Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act (H.R.1805)
Medicare pays most acute care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Low-volume Adjustment (LVA)Medicare-dependent Hospitals (MDHs), and Sole Community Hospitals (SCHs).
AHA Responds to House RFI on Modernizing MACRA
Legislative reform recommendations for Congress to consider to further support flexible implementation and widespread participation in value-based and alternative payment models while delivering improvements in the cost and quality of care.
AHA Support for Senate Rural Hospital Cybersecurity Enhancement Act
The American Hospital Association expresses support for the Rural Hospital Cybersecurity Enhancement Act (S. 2169).