Tracking State Rural Health Transformation Plans
KFF Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
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Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
By Sarah Jane Tribble and Arielle Zionts -
Trump’s $50B Rural Health Bet Meets a Healthcare Desert in North Carolina
Republicans promise that $50 billion in new health funding will help rural America. But it’s not expected to aid the years-long effort in North Carolina’s Martin County to reopen its only hospital.
By Sarah Jane Tribble and Amanda Seitz -
Big Companies Position Themselves for Payday From $50B Federal Rural Health Fund
A $50 billion federal fund is supposed to modernize rural health with electronic health records, AI, telehealth, and more. But community clinics and rural health advocates fear that the contractors administering the money for states will bite off a big chunk before it reaches rural patients.
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Lawmakers, Health Groups Resist Their States’ Rural Health Fund Plans
Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.
By Arielle Zionts and Sarah Jane Tribble -
Alabama’s ‘Pretty Cool’ Plan for Robots in Maternity Care Sparks Debate
Alabama, a state with one of the nation’s highest infant mortality rates, is betting on robots to help fix its maternal care crisis. But the state’s plan for telerobotic ultrasounds in rural areas has raised doubts.
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States Race To Launch Rural Health Transformation Plans
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing "Make America Healthy Again" initiatives.
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Criminally Ill: Systemic Failures Turn State Mental Hospitals Into Prisons
There has been a steep rise in the share of people with severe mental illnesses being sent to state psychiatric hospitals on court orders after being accused of serious crimes. The shift has all but halted patients’ ability to get care before they have a catastrophic crisis.
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In the Vast Expanses of Indian Country, Broadband Gaps Create Health Gaps, Too
On Idaho’s remote Fort Hall Reservation, thousands live without reliable high-speed internet, which supports health care, education, and daily life. Facing delays and wavering federal policy, Frances Goli is determined to spend more than $22 million in federal grant money before she runs out of time.
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Feds Promised ‘Radical Transparency’ but Withhold $50B Rural Fund Details
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
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Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
By Sarah Jane Tribble and Arielle Zionts -
Concerns Over Fairness, Access Rise as States Compete for Slice of $50B Rural Health Fund
Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.
By Sarah Jane Tribble and Arielle Zionts -
States Jostle Over $50B Rural Health Fund as Trump’s Medicaid Cuts Trigger Scramble
States are battling for their piece of $50 billion in federal rural health funding, but it’s not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid cuts loom.
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Trump Called Digital Equity Act ‘Racist.’ Now Internet Money for Rural Americans Is Gone.
President Donald Trump called the Digital Equity Act unconstitutional, racist, and illegal. Then the $2.75 billion program for rural and underserved communities to gain internet access disappeared.
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States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit
North Carolina and Idaho are cutting their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new federal tax-and-budget law takes effect.
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Watch: Millions of Americans Live Where Telehealth Is Out of Reach
In this video report, InvestigateTV and KFF Health News take viewers to Alabama, Idaho, and West Virginia to explore how gaps in internet connectivity and telehealth access cause residents to live sicker and die younger on average than their peers in well-connected regions.
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Deep Staff Cuts at a Little-Known Federal Agency Pose Trouble for Droves of Local Health Programs
The workforce of a federal agency that oversees billions in grants for primary health care, HIV/AIDS, maternal and child health services, and workforce training has been slashed, sparking fears of what’s to come.
By Sarah Jane Tribble and Henry Larweh -
$50B Rural Health ‘Slush Fund’ Faces Questions, Skepticism
Lawmakers added a $50 billion program for rural health to President Donald Trump’s massive tax and spending package with promises it would help plug the hole left by Medicaid cuts. Rural hospital and clinic leaders worry the infusion won’t reach the right places.
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Trump Team’s Reworking Delays Billions in Broadband Build-Out
A Trump administration reworking of a $42 billion broadband expansion program will trigger delays as millions of rural Americans wait for promised connections and the telehealth services they bring.
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Watch: In a ‘Dead Zone,’ Doctors Don’t Practice and Telehealth Doesn’t Reach
Chief rural health correspondent Sarah Jane Tribble explains how millions of rural Americans live in counties with doctor shortages and where high-speed internet connections aren’t adequate to access advanced telehealth services.
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