Telehealth Brings Expert Sexual Assault Exams to Rural Patients
Some rural residents must travel hours for a sexual assault exam. Specialized telehealth services are expanding so they can obtain care closer to home.
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Some rural residents must travel hours for a sexual assault exam. Specialized telehealth services are expanding so they can obtain care closer to home.
Congress’ $1.7 trillion omnibus spending package included a two-year extension of pandemic-era funding that helped telehealth services grow nationwide. But that cash bridge, embraced by those delivering services to patients in rural areas, doesn’t provide much certainty for the future of remote medicine.
California’s laws still leave extradition decisions related to reproductive rights and gender-affirming care to its governor. But as states with abortion bans target California physicians who prescribe abortion pills across state lines, Democrats want to lock in protections for doctors, no matter who the next governor is.
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.
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.
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.
With abortions still on the rise nationwide despite widespread bans, curtailing the use of pregnancy-terminating medication is a top priority for abortion opponents — and they’re frustrated that the Trump administration isn’t doing more to limit its use.
It’s been more than 10 years since the FDA first approved an HIV prevention drug. Today, people who could benefit from preexposure prophylaxis often struggle to access the lifesaving medicine or run into doctors without the education or empathy to offer affirming care. And those lapses can produce billing headaches.
States are rolling out plans for their share of a $50 billion fund meant to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
When the only clinic that offered abortions in Michigan’s rural Upper Peninsula closed, an urgent care facility stepped in to fill the gap. Now, others are considering similar moves as brick-and-mortar clinics close in blue states.
A 2024 state law reclassified misoprostol and mifepristone as controlled substances. That affects how hospitals can access the drugs in non-abortion emergencies, and other states appear to be taking note.
Some clinics that provide abortions are closing, even in states where voters have passed some of the nation's broadest abortion protections. It’s happening in places like New York, Illinois, and Michigan, as reproductive health care faces new financial pressures.
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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.
More Californians are getting mental health or substance use disorder treatment online or over the phone than in person, according to a KFF Health News analysis of UCLA’s latest California Health Interview Survey. But the telehealth experience isn’t always positive.
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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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