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.
The independent source for health policy research, polling, and news.
KFF Health News covers the health issues facing people who live in America’s rural reaches.
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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Fewer than half of rural U.S. hospitals offer labor and delivery services. In some areas, births have dropped by three-quarters since the baby boom’s peak.
Colorado defended its high disenrollment rates following the covid crisis by saying that what goes up must come down. Advocates and researchers disagree.
Idaho’s law criminalizing abortion drove a high-profile exodus of OB-GYNs from the state more than a year ago. Now, two years after the U.S. Supreme Court rolled back abortion protections enshrined by Roe v. Wade, patients in rural Idaho are forced to leave their community for gynecological care.
In a momentous 6-3 decision that could affect communities across the nation, the U.S. Supreme Court gave local officials and law enforcement more authority to fine and penalize homeless people living outside. Advocates for homeless people predict the ruling will lead to more sickness and death.
In the swing state of Wisconsin, the cost and availability of health care have emerged as key issues. Voters there say prescriptions, procedures, and health insurance policies are too expensive, and must be addressed by the next president, whether Republican or Democrat.
Dozens of small cities and towns across the United States struggle not just with health care access and the loss of jobs, but also with the burden of what to do with big, empty buildings.
Many farmers have traditionally handled their own problems, whether it’s a busted tractor or debilitating anxiety. “With the older generation, it’s still, ‘Suck it up and get over it,’” says an Iowa mental health advocate and farmer.
The network is aimed at helping rural patients, who face higher rates of traumatic injuries and death but may not live near a hospital with a stockpile of blood.
If Indiana officials approve a proposed hospital merger in western Indiana in the coming months, the state will have its first hospital monopoly created by a “Certificate of Public Advantage.” Other such deals have resulted in government reports documenting diminished care in Tennessee and North Carolina.
A medical residency program designed to train future primary care physicians in outpatient rather than hospital settings has proved an effective means to bring doctors to rural and underserved areas. But it hinges on unpredictable congressional funding.
If widely used, flu tests could be helpful now. In the meantime, the government needs to clear a path for H5N1 tests, researchers warn, to avoid the early missteps of the covid pandemic.
A nursing home in Colorado had 75 minutes to prepare for a power outage that lasted 28 hours. Such public safety power shut-offs are being used more often as a fire prevention tool, but not all health facilities are prepared.
Proposed state standards to protect indoor workers from extreme heat would extend to schools. The rules come as climate change is bringing more frequent and intense heat waves, causing schools nationwide to cancel instruction.
As the Affordable Connectivity Program runs out of money, millions of people face a jump in internet costs or lost connections if federal lawmakers don't pass a funding extension.
The spread of an avian flu virus in cattle has again brought public health attention to the potential for a global pandemic. Fighting it would depend, for now, on 1940s technology that makes vaccines from hens’ eggs.
A disconnect between two federal programs meant to help keep hospitals afloat discourages struggling rural facilities from accepting the aid.
One of Montana’s largest safety-net health centers announced it will lay off nearly 10% of its workforce because of revenue losses it attributes to vast Medicaid disenrollments. Such cuts are happening elsewhere too.
Federal officials are offering $75 to dairy workers who agree to be tested for bird flu. Advocates say the payments aren’t enough to protect workers from lost wages and health care costs if they test positive.
Dairy farmers and veterinarians in northern Texas furiously investigated a mysterious illness among cattle before the government got involved. Their observations are telling.
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