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.
121-140 of 846 results
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End of Enhanced Obamacare Subsidies Puts Tribal Health Lifeline at Risk
Tribal insurance programs give Native Americans access to affordable health care when the Indian Health Service falls short. Those plans are threatened by the expiration of enhanced Affordable Care Act subsidies.
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Obamacare Sign-Ups Drop, but the Extent Won’t Be Clear for Months
Experts say Affordable Care Act sign-up data won’t be clear until people who were enrolled have paid — or haven't paid — their new, often much higher, premiums.
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This Ballad Hospital, Flooded by Hurricane Helene, Will Be Rebuilt for $44M in a Flood Plain
Ballad Health, the nation’s largest state-sanctioned hospital monopoly, plans to rebuild Unicoi County Hospital on land that two climate modeling companies say is at risk of flooding.
By Brett Kelman -
Blurry Line Between Medical and Vision Insurance Leaves Patient With Unexpected Bill
A Wisconsin retiree with glaucoma needed her eyes examined. Her Medicare Advantage plan from UnitedHealthcare listed her optometrist’s clinic as in-network, but she learned the hard way that a clinic can be in-network and out-of-network at the same time.
By Tony Leys -
Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
Breakups between insurers and health systems, on top of plan cuts, left more than 3.7 million Medicare Advantage enrollees facing a tough choice last year: find new insurance or new doctors. But hospital systems say their Advantage plans can avert such upheaval, giving patients peace of mind.
By Susan Jaffe -
Journalists Mine News for Insights on Tylenol, Obamacare Credits, and Rural Health Funding
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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Farmers Now Owe a Lot More for Health Insurance
More than a quarter of the agricultural workforce purchases health insurance through the individual marketplace, a much larger share than the overall percentage of U.S. adults. After a tough year for farmers, the loss of enhanced ACA subsidies is putting health insurance out of reach for many.
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Native American Leaders Target High Maternal Mortality in Indian Country
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
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Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.
Native American women face higher rates of death than other demographics. In response, Native Americans have been working with state and federal officials to boost tribal participation and leadership in maternal mortality review committees to better track and address pregnancy-related deaths.
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States Race To Launch Rural Health Transformation Plans
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing "Make America Healthy Again" initiatives.
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RFK Jr.’s MAHA Movement Has Picked Up Steam in Statehouses. Here’s What To Expect in 2026.
“Make America Healthy Again” policies driven by HHS Secretary Robert F. Kennedy Jr. have made major strides in state legislatures, with food additives among the most common targets. The trend is expected to continue this year.
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This California Strategy Safeguarded Some Medicaid Social Services Funding From Trump
Programs like Jamboree Housing Corp. have leveraged Medi-Cal funding to offer residents access to social services that experts say are key to keeping them off the streets. California intends to keep it that way, despite federal cuts.
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Millions of Americans Are Expected To Drop Their Affordable Care Act Plans. They’re Looking for a Plan B.
An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.
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Journalists Update Listeners on Expiration of Insurance Subsidies and New Rural Health Funding
KFF Health News journalists made the rounds on local and regional media recently to discuss topical stories. Here’s a collection of their appearances.
New Year, Same Health Fight
Episode 428Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government’s childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more.
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In Lodge Grass, Montana, a Crow Community Works To Rebuild From Meth’s Destruction
Meth is a problem most everywhere, but particularly in Indian Country. On the Crow Indian Reservation in Montana, new buildings serve as symbols of a town trying to rebuild after being devastated by addiction.
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On the Hook for Uninsured Residents, Counties Now Wonder How They’ll Pay
Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap — and who will pay for it.
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Iowa Doesn’t Have Enough OB-GYNs. The State’s Abortion Ban Might Be Making It Worse.
Abortion bans like Iowa’s have put OB-GYNs under increasing strain and surveillance, complicating the standard medical treatments for miscarriage, ectopic pregnancy, premature membrane rupture, and other pregnancy problems. As many rural areas face worsening maternity care deserts, some physicians fear these laws could drive much-needed doctors out of state and dissuade others from moving in and establishing a practice.
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It’s the ‘Gold Standard’ in Autism Care. Why Are States Reining It In?
States facing yawning budget shortfalls have begun cutting Medicaid reimbursements for a wide variety of services. In some states, dramatic cuts are targeting therapies that many families of autistic people say are essential to caring for their loved ones.
By Bram Sable-Smith and Andrew Jones -
In the Vast Expanses of Indian Country, Broadband Gaps Create Health Gaps, Too
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.