BOSTON, MA (FRANKLIN COUNTY NOW) — In a letter from U.S. Senator Ed Markey and three other Senators on the federal funding cuts to Medicaid and the Affordable Care Act, Baystate Franklin Medical Center in Greenfield is listed as a rural hospital at risk of closing or reducing services as it meets one of two financial criteria – having experienced three consecutive years of negative profit margins, which would be exacerbated by substantial cuts to Medicaid.