51.   Now, some plans are shutting down in states and rural areas where federal payments to HMOs are low.

52.   Opponents said the program would hurt farmers when prices drop, because federal payments would not increase during downswings.

53.   Other proposals, like a request to cut federal payments to teaching hospitals, are hidden or obscured in the narrative part of the budget.

54.   Once companies like Virginia Power install the software needed to receive federal payments, they will also be ready to accept such payments from others.

55.   Patients would presumably shop for plans offering the best care at the lowest prices because they would receive rebates if they chose plans charging less than the federal payment.

56.   Reduces federal payments to hospitals serving large numbers of poor people.

57.   --Relaxed rules for federal payments to hospitals that serve large numbers of low-income and uninsured people.

58.   Such a move would shift congressional district lines in at least two states and reconfigure billions of dollars in federal payments to state and local governments.

59.   That is partly the result of looming cuts in projected federal payments to them.

60.   That resulted in higher federal Medicaid payments to those states.