In June, several Democratic U.S. Senators sent a letter (1) to President Trump, Speaker Johnson, and Majority Leader Thune outlining the consequences of the soon-to-be-passed reconciliation bill (the Big Ugly Bill). The letter warns that “these cuts will have devastating consequences for health outcomes and costs, jobs, and the economic success of rural communities.”
Attached to the letter is “information provided by the Cecil G. Sheps Center for Health Services Research at the University of North Carolina (that) illustrates what your party’s reconciliation bill will mean for the health of Americans living in rural communities.”
The attached study identified the at-risk rural hospitals by state. The study looked at how “(s)ubstantial cuts to Medicaid or Medicare payments could increase the number of unprofitable rural hospitals and elevate their risk of financial distress. In response, hospitals may be forced to reduce service lines, convert to a different type of health care facility, or close altogether.”
The study named hospitals that meet one or both of two financial criteria: (1) the hospital is in the top 10% (ten percent) Medicaid payer mix of rural hospitals across the country, (2) the hospital has experienced three consecutive years of negative total margin. This means these rural hospitals face greater risk of being forced to stop providing some services, converting, or closing.
In Nevada, two hospitals were specifically identified as “at-risk” under these criteria. These were
1. Battle Mountain General Hospital in Battle Mountain and
2. Humboldt General Hospital in Winnemucca.
While neither of these is in our area (they are both in Congressional District 2), the study does illustrate the situation that rural hospitals face. Should one or both of these institutions be forced to close, the population using their services would then have to find (and travel to) other hospitals that will provide care to them. This will, in turn, increase the economic pressures on the other hospitals and possibly putting them at risk as well. There could be a snowball effect throughout the state.
Recently, the Mesa Valleys Progress published a story (2) about Mesa View Hospital titled “Hospital launches fundraising for critical expansion.”
The article begins “Hospitals can benefit all of us in our most vulnerable time of need. They must focus on providing quality health care, irrespective of costs and patients’ ability to pay; they serve all. However, the reality is hospitals must manage organizational costs, pay their bills and provide levels of service that match their financial position. Oftentimes, the hospital’s range of services fall short of what all local residents need, so patients are forced to travel elsewhere for care. This is the story of Mesa View, a critical access hospital and one of the 14 (fourteen) rural hospitals in Nevada.”
It goes on to describe how Mesa View is planning to expand in the future to meet the growing needs of our communities. The article explains that “(i)n order to fund the expansion, Mesa View Hospital has established a Friends of Mesa View Fund. The fund is a registered 501(c)(3) and is held at the Wyoming Community Foundation. Donations to the fund are tax deductible and directly support expanding specialized health care services, beginning with cardiology. Too many residents are traveling to St. George or Las Vegas for health care services currently unavailable at Mesa View, a trend the hospital is committed to reversing.”
It seems that, even in these uncertain times, Mesa View Hospital is committing to ensuring good health care in northeast Clark County. Having been a patient myself at Mesa View, both in the ER and the regular hospital, I can agree with the article’s assertion that “the real anchor level of services is Mesa View’s emergency room, the gold standard in the community.” Let us hope that the at-risk rural hospitals situation doesn’t negatively affect this fine facility.
(1) https://www.markey.senate.gov/imo/media/doc/letter_on_rural_hospitals.pdf
(2) https://mvprogress.com/2025/07/15/hospital-launches-fundraising-for-critical-expansion/