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When theres less money in the system, theres just less money to pay hospitals, health systems, nursing homes, physicians offices. In a statement, Valadao defended his vote in support of the bill, citing a new $50 billion fund for rural hospitals and promising to engage with the Centers for Medicare and Medicaid Services [CMS] to identify specific risks to Valley hospitals and mitigate them. Ultimately, I voted for this bill because it does preserve the Medicaid program for its intended recipients children, pregnant women, the disabled and elderly, Valadao said