When did the CO-OPs discover that they were only going to get one-eighth, 12 percent of the money they expected?

For the past five years Republican colleagues have systematically and deliberately sabotaged the implementation of the Affordable Care Act.

I believe there is room for us to work together to address how we deliver health care to people who live in rural areas.

If Medicaid would expand, it would be over a $300,000 impact of Holton Hospital, where some years that is the difference of us being a profitable hospital or not.

80 percent of the hospitals that have announced recent closures are in States that chose not to expand Medicaid.

Time and time again, I hear from Republican colleagues about rural hospitals closing down, threatening access to health care for many communities.

Their decision has left 4.3 million people without insurance, forcing hospitals, many of them which serve rural areas, to pick up the cost.

Why is it a problem? Everybody says it is a big problem; we have to got to get rid of this 96-hour rule.

Mr. Chairman, I realize you have given me a little extra time here. I would like to submit the CMS rules on the 96-hour rule for the record.

Medicare is really about beneficiaries. It isn't about providers, it isn't about drug companies, it isn't about hospitals, it isn't about anybody else.

Can I have just a second to ask unanimous consent to drop in a letter from the American Hospital Association dated July 22nd?