KFF Health News is examining the impact of national health care policy changes on uninsured people and their communities. “Uninsured patients stress the health care system.”Starr County shows how this dynamic unfolds. These include taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs. Desai called the analysis “flawed.”Any loss in revenue could spell financial ruin, especially for small rural hospitals, said Quang Ngo, president of the Texas Organization of Rural & Community Hospitals Foundation. The Trump administration’s budget request for the coming fiscal year calls for cuts to multiple rural health programs operated through the Health Resources and Services Administration.