# What would Hinson and Turek do for rural hospitals?: 30 Sourced Claims, Contested Facts & Evidence Map their public positions on rural hospitals, Medicaid, and health-care access in Iowa. Authors: joe HTML: https://moyomap.com/maps/would-hinson-turek-do Markdown: https://moyomap.com/maps/would-hinson-turek-do.md License: HTML and markdown are for reading and citation. Bulk copying and AI training need a written license. See /terms and /developers#maps-data. Cite a claim as: MoyoMap, "What would Hinson and Turek do for rural hospitals?: 30 Sourced Claims, Contested Facts & Evidence", claim {id}, https://moyomap.com/maps/would-hinson-turek-do.md#{id}. “Moyo, a product of SenTeGuard Inc.” ### Rep. Id: claim_0d29a22a04ef93e0f457bbd6 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Rep. Ashley Hinson cosponsored the bipartisan Rural Community Hospital Demonstration Program Reauthorization Act on June 4, 2026, to extend the program for five years. Labels: Source-linked, Low, known ### Rural clinics in southeast Iowa opted to terminate managed-care contracts after MCOs such as Iowa Total Care… Id: claim_29470c1107711b43a7318eb1 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Rural clinics in southeast Iowa opted to terminate managed-care contracts after MCOs such as Iowa Total Care lowered reimbursement rates for rural healthcare providers. Labels: Source-linked, Low, investigate ### Rep. Id: claim_4a0b902fb856869caf7810f6 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Rep. Ashley Hinson missed 5 of 314 floor votes in the U.S. House of Representatives during 2026. Labels: Source-linked, Low, known ### The Iowa Insurance Division reported ACA Marketplace premiums rose between 12% and 27% for 2026. Id: claim_51a89ec773c07713326f8b0c Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 The Iowa Insurance Division reported ACA Marketplace premiums rose between 12% and 27% for 2026. Labels: Source-linked, Low, known ### A July 2026 update by the Center for Healthcare Quality and Payment Reform found 8 Iowa rural hospitals at ri… Id: claim_526ef7b1831e47defac3c293 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 A July 2026 update by the Center for Healthcare Quality and Payment Reform found 8 Iowa rural hospitals at risk of closure, with risk primarily attributed to low private-insurance payments rather than Medicaid cuts. Labels: Inferred, Low, known ### Ashley Hinson voted for the 2025 budget reconciliation bill ('One Big Beautiful Bill Act'), which CBO estimat… Id: claim_686274ac1698164ba1c4d243 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Ashley Hinson voted for the 2025 budget reconciliation bill ('One Big Beautiful Bill Act'), which CBO estimated would reduce Medicaid spending by roughly $1 trillion over 10 years. Labels: Source-linked, Medium, known ### Ashley Hinson voted in favor of the 2024 House Republican appropriations minibus bill that maintained flat fu… Id: claim_7de17301ce60e16d20fe4db3 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Ashley Hinson voted in favor of the 2024 House Republican appropriations minibus bill that maintained flat funding or cut Title VII and Title VIII health-workforce programs. Labels: Source-linked, Low, known ### Ashley Hinson voted in April 2023 for the Limit, Save, Grow Act, which aimed to establish federal Medicaid wo… Id: claim_ad7cc8f49b2cf6ae2551f7e7 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Ashley Hinson voted in April 2023 for the Limit, Save, Grow Act, which aimed to establish federal Medicaid work requirements. Labels: Source-linked, Low, known ### According to AAMC data, Iowa ranks among the bottom five states nationally in physicians per capita. Id: claim_bae1e6f2556c2695670d5028 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 According to AAMC data, Iowa ranks among the bottom five states nationally in physicians per capita. Labels: Source-linked, Low, known ### Ashley Hinson voted against the Inflation Reduction Act of 2022, which extended enhanced ACA premium tax cred… Id: claim_c0b08d2cbfdf2492da3f52e8 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Ashley Hinson voted against the Inflation Reduction Act of 2022, which extended enhanced ACA premium tax credits. Labels: Source-linked, Low, known ### Ashley Hinson voted against the American Rescue Plan Act of March 2021, which allocated $8.5 billion in relie… Id: claim_c1d0b853e34fd72a89206a6e Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Ashley Hinson voted against the American Rescue Plan Act of March 2021, which allocated $8.5 billion in relief for rural healthcare providers and expanded ACA subsidies. Labels: Source-linked, Low, known ### During 2023 and 2024, Ashley Hinson voted for House Republican appropriations measures that proposed reductio… Id: claim_df5a1a71ff365c342f3ef1b5 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 During 2023 and 2024, Ashley Hinson voted for House Republican appropriations measures that proposed reductions to HRSA rural health programs. Labels: Source-linked, Low, investigate ### Ashley Hinson opposed the Biden administration's 2024 nursing-home mandatory staffing minimum rule, contendin… Id: claim_e48c6add25284aceac8be518 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Ashley Hinson opposed the Biden administration's 2024 nursing-home mandatory staffing minimum rule, contending it would cause rural Iowa nursing facilities to close. Labels: Source-linked, Low, known ### State Representative Josh Turek Background and Legislative Actions Id: section_1547623b004975a1f78c0a16 Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 State Representative Josh Turek Background and Legislative Actions Labels: Inferred, Low ### Iowa Healthcare Provider Closures and Reductions Id: section_22bfd51d39be3203c7aa40ef Parent: topic_ysxnwvInwVLBhMU6oGOb Depth: 1 Iowa Healthcare Provider Closures and Reductions Labels: Inferred, Low #### Pella Regional Health Center scaled back family-practice operations at its Ottumwa clinic after January 15, 2… Id: claim_21f7b7e8d4a60d3f161812d7 Parent: section_22bfd51d39be3203c7aa40ef Depth: 2 Pella Regional Health Center scaled back family-practice operations at its Ottumwa clinic after January 15, 2026, citing recruitment and retention issues. Labels: Inferred, Low, known #### Iowa participants in the Rural Community Hospital Demonstration program include UnityPoint Health–Grinnell Re… Id: claim_27d497e20e781503fd88f2b1 Parent: claim_0d29a22a04ef93e0f457bbd6 Depth: 2 Iowa participants in the Rural Community Hospital Demonstration program include UnityPoint Health–Grinnell Regional Medical Center, MercyOne Newton Medical Center, Lakes Regional Healthcare, and UnityPoint Health–Trinity Regional Medical Center. Labels: Inferred, Low, known #### The Iowa Department of Inspections, Appeals, and Licensing health facilities database records that 842 licens… Id: claim_563220385d01e8967aae7e4c Parent: section_22bfd51d39be3203c7aa40ef Depth: 2 The Iowa Department of Inspections, Appeals, and Licensing health facilities database records that 842 licensed healthcare entities closed since 2021 compared to 468 openings. Labels: Source-linked, Low, known #### Iowa State Representative Josh Turek is a Paralympic wheelchair basketball gold medalist who relies on Medica… Id: claim_71bc69eff74ac1f2e24c772a Parent: section_1547623b004975a1f78c0a16 Depth: 2 Iowa State Representative Josh Turek is a Paralympic wheelchair basketball gold medalist who relies on Medicaid-waiver supports due to spina bifida and paraplegia. Labels: Source-linked, Low, investigate #### The 2025 reconciliation law established a $50 billion Rural Health Transformation Program spanning 2026 to 20… Id: claim_752cc2150d4ed22e394f2cef Parent: claim_686274ac1698164ba1c4d243 Depth: 2 The 2025 reconciliation law established a $50 billion Rural Health Transformation Program spanning 2026 to 2030 to mitigate rural hospital impacts from Medicaid reductions. Labels: Source-linked, Low, known #### According to March of Dimes 2024 data and workforce figures, Iowa ranks near the bottom nationally in OB-GYNs… Id: claim_8280c309e27ed7b23c08c4bc Parent: claim_bae1e6f2556c2695670d5028 Depth: 2 According to March of Dimes 2024 data and workforce figures, Iowa ranks near the bottom nationally in OB-GYNs per capita and faces multiple county-level maternity care deserts. Labels: Source-linked, Low, known #### KFF estimated that Iowa could lose approximately $4 billion to $5 billion in federal Medicaid funding over te… Id: claim_ab9c8bd4b2f20bc408a75ca1 Parent: claim_686274ac1698164ba1c4d243 Depth: 2 KFF estimated that Iowa could lose approximately $4 billion to $5 billion in federal Medicaid funding over ten years under the 2025 reconciliation law. Labels: Source-linked, Low, known #### Josh Turek sponsored Iowa House bills to cap insulin at $25 per month (HF 405), expand Medicaid dental covera… Id: claim_b7a28b2b2469885b8ec6f120 Parent: section_1547623b004975a1f78c0a16 Depth: 2 Josh Turek sponsored Iowa House bills to cap insulin at $25 per month (HF 405), expand Medicaid dental coverage (HF 2476), and eliminate Medicaid HCBS waiver waitlists (HF 2108). Labels: Source-linked, Low, known #### A Farm Action Fund report from October 2026 projected Iowa's Medicaid funding would decrease by $12.8 billion… Id: claim_ddb8bfa2f841cd17d3cb4900 Parent: claim_686274ac1698164ba1c4d243 Depth: 2 A Farm Action Fund report from October 2026 projected Iowa's Medicaid funding would decrease by $12.8 billion (16.01%) by 2034 compared to baseline projections under OBBB. Labels: Inferred, Low, known #### Kaiser Family Foundation estimated that the One Big Beautiful Bill Act's Medicaid and ACA provisions would re… Id: claim_e8d6f04002bc5abf454f7e77 Parent: claim_686274ac1698164ba1c4d243 Depth: 2 Kaiser Family Foundation estimated that the One Big Beautiful Bill Act's Medicaid and ACA provisions would result in approximately 80,000 Iowans becoming uninsured by 2034. Labels: Source-linked, Low, known #### Josh Turek missed 261 of 445 floor votes in the Iowa House of Representatives during the 2026 legislative ses… Id: claim_fbbba8ddffbf30c9267f999c Parent: section_1547623b004975a1f78c0a16 Depth: 2 Josh Turek missed 261 of 445 floor votes in the Iowa House of Representatives during the 2026 legislative session. Labels: Source-linked, Medium, known ##### CMS announced more than $209 million in Rural Health Transformation Program funding for Iowa's Healthy Hometo… Id: claim_50bf0c2d525c8c9c042c5745 Parent: claim_752cc2150d4ed22e394f2cef Depth: 3 CMS announced more than $209 million in Rural Health Transformation Program funding for Iowa's Healthy Hometowns initiative on October 9, 2026. Labels: Source-linked, Low, known ##### River Hills Community Health Center announced that its Centerville clinic would close on July 31, 2026, citin… Id: claim_7e2cd362cbdf9c4a0626ded7 Parent: claim_563220385d01e8967aae7e4c Depth: 3 River Hills Community Health Center announced that its Centerville clinic would close on July 31, 2026, citing operational and financial challenges. Labels: Inferred, Low, known ##### Josh Turek voted against Iowa's 2023 Medicaid budget legislation and publicly detailed personal coverage deni… Id: claim_8034460e0b0e159750fff4d2 Parent: claim_71bc69eff74ac1f2e24c772a Depth: 3 Josh Turek voted against Iowa's 2023 Medicaid budget legislation and publicly detailed personal coverage denials experienced under Iowa's privatized Medicaid managed-care system. Labels: Source-linked, Low, investigate ##### MercyOne Ottumwa Family and Internal Medicine clinic closed on February 27, 2026, directing patients to Cente… Id: claim_98c8f3d4017c5ebbd3084f6f Parent: claim_563220385d01e8967aae7e4c Depth: 3 MercyOne Ottumwa Family and Internal Medicine clinic closed on February 27, 2026, directing patients to Centerville. Labels: Inferred, Low, known