Give and Take: Federal Rural Health Funding Could Trigger Service Cuts
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.
North Dakota
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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 -
Rural Health Providers Hit by $100K Trump Visa Fee
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Rural Health Providers Could Be Collateral Damage From $100K Trump Visa Fee
Dozens of health care organizations have asked the Trump administration to shield the doctors, nurses, and techs they need to fill shortages from the president’s new $100,000 visa fee for skilled foreign workers. So far, there’s no sign of a reprieve.
By Arielle Zionts and Phillip Reese -
Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.
The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.
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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 -
Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.
People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
By Samantha Liss and Sam Whitehead -
Nuclear Missile Workers Are Contracting Cancer. They Blame the Bases.
People who maintained the nation’s land-based nuclear missile arsenal are coming down with similar cancers. The Air Force is wrapping up a large study of the health risks they may have faced.
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Collaborative Networks Become Popular Lifeline for Rural Hospitals
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Instead of Selling, Some Rural Hospitals Band Together To Survive
Independent and rural hospitals are collaborating with their neighbors to shore up their finances instead of joining larger health systems to stay afloat.
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Experts Say Rural Emergency Rooms Are Increasingly Run Without Doctors
Some doctors and the groups that represent them say physicians’ extensive training leads to better emergency care, and that some hospitals are trying to save money by not hiring them. They support new laws in Indiana, Virginia, and South Carolina that require physicians to be on-site 24/7.
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Congress Looks To Ease Restrictions on Veterans’ Use of Non-VA Clinics and Hospitals
Veterans often face hurdles when they want the Department of Veterans Affairs to pay for care from clinics and hospitals outside the federal system. A bill in Congress, coupled with a major funding request from the Trump administration, could help clear the path for many rural veterans.
By Tony Leys -
Tribal Health Officials Work To Fill Vaccination Gaps as Measles Outbreak Spreads
Native American tribes and health organizations are hosting clinics and calling patients to counteract low measles vaccination rates and limited access to health care as the disease spreads across the country.
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Insurers Fight State Laws Restricting Surprise Ambulance Bills
A Colorado bill banning surprise billing for ambulance rides passed unanimously in both legislative chambers, only to be met with a veto from the governor. As more states pass such legislation, some are hitting the same snag — concerns about raising premiums.
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Native Americans Hurt by Federal Health Cuts, Despite RFK Jr.’s Promises of Protection
The Indian Health Service was mostly spared in the federal government’s widespread staffing cuts, but tribal governments and organizations have lost funding elsewhere in the melee of federal health agency cuts.
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American Doctors Are Moving to Canada To Escape the Trump Administration
Canada has seen a surge of American doctors seeking to move north in the months since President Donald Trump returned to the White House.
By Brett Kelman -
Rural Patients Face Tough Choices When Their Hospitals Stop Delivering Babies
More than 100 rural hospitals have stopped delivering babies since 2021, including a South Dakota hospital that serves small towns, farming communities, and a Native American reservation. Patients there now travel at least an hour to give birth.
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Medicaid Payments Barely Keep Hospital Mental Health Units Afloat. Federal Cuts Could Sink Them.
Patients seeking mental health care are more likely to be on Medicaid than patients in more profitable areas of care, such as cancer or cardiac treatment.
By Tony Leys -
Why Cameras Are Popping Up in Eldercare Facilities
Roughly 20 states now have laws permitting families to place cameras in the rooms of loved ones. Facility operators are often opposed.
By Paula Span -
Indiana Lawmakers Seek To Forbid Hospital Monopolies, but One Merger Fight Remains
Union Health has made a new bid to buy its only rival hospital in Terre Haute, Indiana. The system passed one hurdle after lawmakers watered down a bill that threatened the proposed deal. That means the merger will now face a likely showdown with Indiana’s new governor.