The most vulnerable hospitals with skilled nursing facilities (SNFs) will be devastated by the MediCal cuts the state of California plans to implement as soon as March/April 2013. Many will have to close their SNFs, some will have to close their entire hospital. Most of these hospitals are in equally vulnerable, isolated, high percentage MediCal communities. The closure of their hospital will have a devastating effect on the community as a whole. We ask that CA either 1. stops the cuts or 2. exempts the most vulnerable hospital SNFs.