HARRISBURG, Pa. (AP) — Gov. Josh Shapiro is warning that cuts to Medicaid health care that Congress is considering would mean billions of dollars in lost federal aid to Pennsylvania, hundreds of thousands of people losing access to the program and more rural hospitals shutting their doors. Shapiro said Wednesday that the state will be unable to make up that amount of lost federal aid. The precise contours of cuts to Medicaid are being hammered out in the GOP-controlled U.S. House. Republicans say they’re trying to make Medicaid work better. Estimates from the nonpartisan Congressional Budget Office show that at least 7.6 million people could lose health insurance with the proposed Medicaid cuts.