A hospital trade group is warning that if ObamaCare is repealed without a replacement, hospitals across the country would lose billions of dollars in funding.

America’s Essential Hospitals (AEH), a trade group that represents hospitals serving low-income communities, released a report Thursday detailing $40.5 billion in potential losses from 2018 through 2026 if congressional Republicans repeal ObamaCare without a comparable replacement.

“These numbers really show what’s at stake for the patients who depend on the doors being open at essential hospitals,” AEH CEO Bruce Siegel said.  

{mosads}“These are unsustainable losses that would jeopardize vital services and access to care in communities across the country.”

The $40.5 billion represents coverage lost if the law is repealed, taking with it the Medicaid and Medicare funding that was tied to ObamaCare’s passage.

If Congress passes its repeal legislation from 2015, essential hospitals would still lose $16.8 billion over the same period, according to the report.

AEH suggests lawmakers either replace ObamaCare with a simultaneous, comprehensive replacement or repeal the law’s cuts to Medicaid and Medicare.

It’s unclear if Congress intends to restore the funding, but Republican lawmakers intend to pass a repeal bill by spring. That repeal could include elements of a replacement plan.