CHICAGO -- Non-profit hospitals in states that opted not to expand their Medicaid programs under the new federal health care law will face financial problems and rating pressure next year, Fitch Ratings warned in a report this week.

“The biggest impact of the new law in 2014 is going to be the lack of increase in insured volume for hospitals in states that don’t expand Medicaid combined with reimbursement cuts,” Fitch analyst Adam Kates, who wrote “Adverse Expansion: Hospitals, States, and Medicaid,” said in a telephone interview.

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