Changes in Medicaid funding could cost Georgia more than $2.6 billion during the next five years and potentially shut down dozens of the state's hospitals, health clinics and nursing homes. Under the proposed changes, state funding to Grady Memorial Hospital in Atlanta would be eliminated, which would virtually guarantee its closure. A report released by the House Oversight and Government Reform Committee showed that Georgia would be among the hardest-hit states, unless congressional Democrats can prevent the administration's orders.