Hundreds of millions of dollars in cuts to Medicaid over the next decade would drastically reduce health care access in rural areas, several Eastern Washington medical providers and government officials warned at a press conference on Thursday.
Democratic U.S. Senator Patty Murray had invited medical providers, workers and government officials from Central and Eastern Washington, an area that is more dependent on Medicaid, the government health insurance program for low-income people and those with disabilities.
Upward of 70% of those under 19 in Central Washington’s 4th Congressional District in 2023 were enrolled in Apple Health, the state’s Medicaid program. More than half of those under 19 in the neighboring 5th Congressional District, which includes Spokane and nearby rural Eastern Washington counties, were also enrolled in Apple Health.
“[Medicaid] cuts would be devastating for a healthy next generation,” said state Sen. Marcus Riccelli, D-Spokane, during the press conference, held virtually.
Cuts to the program are in the One Big Beautiful Bill Act, which passed the House late last month and is expected to come up for a vote in the U.S. Senate in the coming weeks.
Alex Jackson, the CEO of MultiCare Inland Northwest, which operates several hospitals in Spokane and Yakima, noted that if hundreds of thousands of Washington residents lost health insurance through Medicaid, hospitals would have to absorb the increased cost.
Costs would likely go up as those without coverage due to Medicaid cuts may defer preventive care until they require more intensive — and expensive — health care, Jackson said.
“Less dollars coming in the door put clinics and hospitals in the position to make difficult decisions that will impact patients’ access to care,” he said.
Jackson did not state whether any of the clinics or hospitals MultiCare operates in Eastern Washington are in danger of closing, but said he believes there are hospitals and clinics in the region that are likely in that position.
Besides a reduction in healthcare access, there would also be economic losses. Hospitals are often the largest employer in many of these small rural communities, Jackson said.
Sen. Murray said that massive pressure from the public and other stakeholders, such as medical providers, could keep such massive cuts from happening. Murray noted that in 2017, public pressure led to a failed attempt by Republicans to repeal the Affordable Care Act.
“Republicans in Congress are not immune to public pressure, and neither is this administration,” Murray said.