SPOKANE, Wash. -- Providence announced it will lay off 63 people and close multiple clinics in Spokane and Stevens counties.

On Thursday morning, Providence Inland Northwest said state and federal healthcare cuts and rising costs are prompting the closures.

Providence says it's facing financial pressure with cuts to Medicaid and Medicare, state legislative policies, denials and delays from insurers, high labor costs, and higher costs for pharmaceuticals and supplies from inflation and tariffs.

Providence expects the issues to be exacerbated with the passing of President Trump's , which will cut vital safety-net programs.

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Providence said it will close Do

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