Empty infant beds sit gathered in a corner in a quiet maternity ward at rural Madera Community Hospital, which closed in January 2023, creating a lack of health care services for the blue-collar Central Valley agricultural community in Madera, Calif.
Credit: Melina Mara / The Washington Post / Getty

The chair of the Senate Finance Committee on Monday released a bill that would increase federal financial support to hospitals in hopes of stemming the tide of labor and delivery unit closures in rural and underserved areas.

Nearly a quarter of rural hospitals stopped providing obstetric services between 2011 and 2021, according to Chartis, a health care consulting firm. Analysts blame the closures on low Medicaid reimbursement rates and declining birth rates in rural communities. The combination, they said, makes it financially challenging to keep labor and delivery units staffed. 

In a call with reporters, Senate Finance Committee Chair Ron Wyden, D-Ore., said he was inspired to introduce the bill after hearing of the impending closure […]

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