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.
Rural Health
KFF Health News covers the health issues facing people who live in America’s rural reaches.
621-640 of 830 results
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In Rural America, Deadly Costs of Opioids Outweigh the Dollars Tagged to Address Them
Some people say it’s reasonable for densely populated areas to receive more settlement funds, since they serve more of those affected. But others worry this overlooks rural communities disproportionately harmed by opioid addiction.
By Aneri Pattani and Rae Ellen Bichell -
Addiction Treatment Proponents Urge Rural Clinicians to Pitch In by Prescribing Medication
The number of U.S. health care providers certified to prescribe buprenorphine more than doubled in the past four years, and treatment advocates hope to see that trend continue.
By Tony Leys -
Racial Disparities in Lung Cancer Start With Research
Improving lung cancer outcomes in Black communities will take more than lowering the screening age, experts say. Disparities are present in everything from the studies that inform when people should get checked to the availability of care in rural areas.
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Rural Colorado Tries to Fill Health Worker Gaps With Apprenticeships
A Grand Junction program is training and retaining nurse and personal care aides in areas where the aging population is creating a need for them. But challenges remain for these workers.
By Kate Ruder -
Trickle of Covid Relief Funds Helps Fill Gaps in Rural Kids’ Mental Health Services
Only a sliver of the funding given to state, local, and tribal governments through the American Rescue Plan Act has been steered to mental health nationwide, but mental health advocates and clinicians hope the money it provides will help address gaps in care for children. In Appalachian Ohio, the funding is helping expand services.
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Schools, Sheriffs, and Syringes: State Plans Vary for Spending $26B in Opioid Settlement Funds
The cash represents an unprecedented opportunity to derail the opioid epidemic, but with countless groups advocating for their share of the pie, the impact could depend heavily on geography and politics.
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Mistrust and Polarization Steer Rural Governments to Reject Federal Public Health Funding
As the covid-19 pandemic grinds on, Elko County, Nevada, still lacks a public health department. Yet its elected leaders rejected federal funds that could have helped it create one. Decisions like the one in Elko, and ones made by officials with other state and local governments, leave health experts concerned about whether the country's public health infrastructure will be prepared to handle future health challenges.
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Blackfeet Nation Challenges Montana Ban on Vaccine Mandates as Infringement on Sovereignty
The Montana tribe has entered a legal fight over whether the state has the right to enforce a prohibition of vaccine mandates on its reservation.
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Fentanyl in High School: A Texas Community Grapples With the Reach of the Deadly Opioid
The first fentanyl-related deaths of students in an area south of Austin, Texas, were reported over the summer. The school district, parents, and students are trying to deal with the aftermath.
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Homelessness Among Older People Is on the Rise, Driven by Inflation and the Housing Crunch
In Montana and across the nation, homeless shelters are reporting that people older than 60 are a growing proportion of their populations.
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South Dakota Voters Approved Medicaid Expansion, but Implementation May Not Be Easy
South Dakotans voted to expand the state’s Medicaid program to cover thousands of additional low-income residents. But as other conservative states have shown, voter approval doesn’t always mean politicians and administrators will rush to implement the change.
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Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets
Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.
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For Republican Candidates, Talk About Moms and Babies Is a Thorny Issue
The abortion issue looms large over the midterm elections, and some in the Republican Party, long associated with efforts to restrict access, are looking to reassure voters they have women’s health in mind.
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Journalists Talk Medicare and Public Health Infrastructure
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
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When Monkeypox Reaches Rural Communities, It Collides With Strained Public Health Systems
In Nevada, local health officials are assessing the threat of monkeypox, but their response may be hampered by historically limited public health infrastructure worn thin by the covid-19 pandemic.
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Drivers in Decline: A Shortage of Volunteers Complicates Access to Care in Rural America
Public transit is already insufficient in rural areas, leaving residents with few options as they travel greater distances to access health care. But older residents who depend on volunteer drivers to get them to appointments face another challenge: The number of those volunteers is declining.
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For the Houma People, Displacement Looms With Every Storm
The Houma, an Indigenous tribe, has seen much of its Gulf Coast community washed away by rising sea levels and dangerous storms. Its leaders say the tribe’s lack of federal recognition makes it harder to keep rebuilding.
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Campaigning Ramps Up as South Dakota Voters Decide on Medicaid Expansion
A broad coalition of Medicaid expansion supporters faces off against a smaller group of opponents as early voting begins on a constitutional amendment that would increase coverage under South Dakota’s program.
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As Giant Hospitals Get Bigger, an Independent Doctor Feels the Pinch
Independent medical practices keep closing as doctors join behemoth hospital groups or leave the field. Research suggests that’s bad news for patients. Studies repeatedly conclude that consolidation in the health care industry is driving up costs while showing no clear evidence of improved care.
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Climate Change Magnifies Health Impacts of Wildfire Smoke in Care Deserts
Smoke- and ash-filled air can trigger or exacerbate severe respiratory conditions. But the medical specialists who treat these illnesses are often scarce where they are most in need.