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Seeking spending cuts, GOP lawmakers target a tax hospitals love to pay

  • Lincoln Health operates the only hospital in Colorado's eastern plains county with fewer than 6,000 residents and struggles financially despite existing over a decade.
  • The hospital’s financial stability is partially supported by special taxes on providers, which contribute to state Medicaid funding that is supplemented by federal matching funds.
  • These provider taxes help Colorado expand Medicaid under the ACA, covering 400,000 more adults and reducing uninsured hospital visits, which benefits hospitals like Lincoln.
  • In the previous year, Lincoln contributed half a million dollars through provider taxes but received upwards of $3.6 million in additional Medicaid funding, which represented roughly 15% of its overall budget, according to CEO Kevin Stansbury.
  • Republicans controlling Congress seek to cut Medicaid’s nearly $900 billion budget by potentially eliminating provider taxes to fund Trump’s tax cuts, risking major impacts on hospitals and Medicaid expansion.
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American Hospital Association broke the news in on Monday, May 5, 2025.
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