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When the U.S. House last month approved cutting Medicaid by $793 billion over the next 10 years, the Kentucky Hospital Association issued a surprisingly upbeat statement thanking the Kentucky Republicans who voted for the legislation, especially Rep. Brett Guthrie of Bowling Green.

Guthrie had used his clout as chairman of the House Energy and Commerce Committee to protect a Medicaid funding stream that Kentucky hospitals say is critical to their survival.

That funding stream now is at risk in the U.S. Senate, which is proposing even steeper cuts than the House to the federal-state program that pays for 1 in 3 Kentuckians’ health care.

If proposals from the Senate Finance Committee become law, “you’ll have hospitals closed, services eliminated and 20,000 jobs eliminated” in Kentucky, warns Nancy Galvagni, president and CEO of the Kentucky Hospital Association.

“We’re encouraging our senators to support the House language on state directed payments,” Galvagni said Tuesday in an interview.

While Republican senators from some states are voicing worries similar to those of Kentucky hospitals, Kentucky Sen. Mitch McConnell had a different message for Senate Republicans in a closed meeting Tuesday, reports Punchbowl News.

“I know a lot of us are hearing from people back home about Medicaid. But they’ll get over it,” McConnell was reported as saying.

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Someone got arrested for memeing?

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