Montana will lose between 4.8 and 6.1 billion due to the Republicans cuts to Medicaid. That long-term predictable income from Medicaid, that covers patient care, will not be offset by the approximately 233 million Montana is set to receive in one year that will go to buildings, Electronic Health Records (EHR) systems, and telehealth equipment. The lights are on, but no patients will receive care in our rural clinics.