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.
61-80 of 815 results
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An Urgent Care Treated Her Allergic Reaction. An ER Monitored Her — For $6,700.
A bug bite and an allergic reaction ultimately sent a North Carolina woman to the emergency room, where she had a couple of brief chats with a doctor and a dose of medicine. Now she questions why the charges were so high.
By Andrew Jones -
The Help That Many Older Americans Need Most
With shortages of medical professionals and an aging population, thousands of community healthcare workers prevent older adults from falling through the cracks.
By Paula Span -
Food Stamp Work Rules Don’t Increase Employment, Researchers Say
Work requirements will encourage people who are able to work to seek and maintain jobs, proponents say. But researchers haven’t found that they lower the unemployment rate.
By Taylor Sisk -
New Federal Medicaid Rules Require One Month of Work. Some States Demand More.
Starting next year, about 18.5 million adults will be subject to new Medicaid work rules in 42 states and Washington, D.C. Applicants must show they’ve been working for at least a month before receiving benefits. Some Republican-controlled states want to triple the required work period.
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Rural Nebraska Dialysis Unit Closes Despite the State’s $219M in Rural Health Funding
A rural Nebraska dialysis unit that was hemorrhaging money closed, upending patients’ lives. That’s despite a federal rural health program that granted the state more than $200 million this year to improve health care in rural communities.
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States Change Custody Laws To Keep Children of Detained Immigrants Out of Foster Care
As President Donald Trump’s heightened immigration enforcement continues across the country, some states are updating temporary guardianship laws to keep the children of detained and deported immigrants out of state custody.
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Pennsylvania Town Faces Fallout From Trump’s Environmental Rule Rollback
Even as the Trump administration publicly embraces the Make America Healthy Again movement and its ideals about reducing corporate harm to the environment, it has taken steps to stall environmental protections that MAHA followers hold dear.
By Stephanie Armour and Maia Rosenfeld -
Farm Bureau Health Plans Beat the ACA on Prices With an Age-Old Tactic: Rejecting Sick People
Fourteen states now allow health coverage through state farm bureaus. Though they generally share many features of Affordable Care Act marketplace plans, they aren’t insurance. Neither are they typically subject to federal or state health insurance requirements, and the benefits may be less generous or predictable than those of Obamacare plans.
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Urgent Care Clinics Move To Fill Abortion Care Gaps in Rural Areas
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.
By Kate Wells -
This Northern Cheyenne Doula Was About To Start Getting Paid — Then Medicaid Cuts Hit
Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services deemed optional under Medicaid are at risk nationwide as states brace for federal cuts.
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Tax Time Brings Surprises for Some Who Receive ACA Subsidies
Some people find they owe money back for subsidies if their income changed from what they estimated. In 2026, more people may find themselves in this situation — and face higher repayment amounts — if they don’t carefully track their income.
By Julie Appleby and Andrew Jones -
State-Run Insurance Plans for Foster Kids Leave Some of Them Without Doctors
North Carolina rolled out a $3.1 billion insurance plan for kids in foster care, but many doctors did not accept patients on the plan. The state is one of several experimenting with a model that has left kids’ guardians scrambling to find health care providers.
By Andrew Jones -
Trump’s One Big Beautiful Bill Act Darkens Outlook for Government-Backed Clinics
About 17,000 federally funded health clinics stand to collectively lose $32 billion under GOP-backed fiscal policies in the next five years — just as more uninsured patients will rely on them for low-cost care.
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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.
By Aaron Bolton, MTPR and Arielle Zionts -
Rising Health Costs Push Some Middle-Aged Adults To Skip the Doc Until Medicare
Adults ages 50 through 64 faced some of the steepest increases in out-of-pocket costs for Obamacare plans after a set of federal subsidies expired at the end of December. Some say they are putting off care or considering dropping health insurance coverage until Medicare picks up the bill.
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Lawmakers Seek To Protect Crisis Pregnancy Centers as Abortion Clinic Numbers Shrink
Some states have tried to crack down on crisis pregnancy centers, accusing them of deceptive practices. But now conservative lawmakers are pushing legislation to increase protections for the organizations, which work to dissuade women from abortions.
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Primary Care Is in Trouble. So Doctors Band Together To Boost Their Market Power.
Thousands of primary care practices are fighting to remain financially viable and independent. Many are banding together to form Independent Physician Associations, or IPAs, to increase their market power.
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More Kids Are in ERs for Tooth Pain. Trump Cuts and RFK Jr.’s Anti-Fluoride Fight Aren’t Helping.
Dentists, hygienists, and researchers say a shortage of rural dental care professionals and worsening oral hygiene since the covid-19 pandemic mean more kids are ending up in the emergency room for tooth decay.
By Farrell Brenner and Angela Y. Zhang -
Journalists Explain a Spat Over Sugary Coffee and How Measles Fools Doctors
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
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Trump’s Cuts to Medicaid Threaten Services That Help Disabled People Live at Home
Iowa patient advocates say that in the face of federal Medicaid cuts, the state is quietly reducing in-home services that help people avoid being institutionalized. National groups are bracing for similar cuts elsewhere.
By Tony Leys