In Texas. where the problem is particularly accute. there are over 140 hospitals. which although given a somewhat extended grace period. are in danger of losing their certification. Loss of certification. of course. means loss of medicare assistance payments. And without this financial help. many of these institutions simply will not be able to survive. Dr. Harry Libscomb. Director of The Institute for Health Service Research. in testimony before the Subcommittee on Migrant Labor. pointed out the seriousness of this problem in Texas by noting: The requirement has "recently resulted in the imminent closing of at least six hospitals serving the Rio Grande Valley. which while giving limited health care. nevertheless provided a critical service for the migrant worker and his family. And this. Mr.
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