Shelley Moore Capito Cast One of the 50 Votes That Will Cost West Virginia Hospitals $1 Billion a Year. Last Month She Signed On to a Bill to Save Rural Hospitals.
In July 2025 Capito voted for the budget bill that guts Medicaid — a 50–50 vote she could have stopped. Seven WV rural hospitals are now named at risk. On July 29, 2026, she cosponsored legislation to prevent rural hospital closures.