Larry Fitzgerald, the vice president for business development and finance at UVA hospital, said the $180 million in federal funds that hospitals in the state receive for providing their indigent care services is expected to be cut in half over the next six years. UVA Chief of Internal Medicine Mohan Nadkarni said the hospital is going to have to change the way it does business with Charlottesville and Albemarle’s poorest patients, but the indigent care services will always exist.