Tracking State Rural Health Transformation Plans
ϳԹ News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Rural Health
ϳԹ News covers the health issues facing people who live in America’s rural reaches.
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Students in Rural Colorado Are Left Without Options as Specialized Schools Close
A new state law aims to keep the doors open at schools that accept students with intensive needs. One preteen in rural Colorado shows how the current system leaves some students bouncing between institutions far from home.
By Rae Ellen Bichell and Helen Santoro -
On the Night Shift With a Sexual Assault Nurse Examiner
Montana and other states are trying to increase the number of nurses specially trained to treat survivors of sexual assault.
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In Idaho, Taking a Minor Out of State for an Abortion Is Now a Crime: ‘Abortion Trafficking’
Under the nation’s first law of its kind, teens must have parental consent to travel for medical care, including in cases of sexual assault or rape. Any adult, including an aunt, grandparent, or sibling, convicted of violating the criminal statute faces up to five years in prison — and could be sued for financial damages.
By Sarah Varney -
Montana Passes Significant Health Policy Changes in Controversial Session
The recently ended legislative session was marked by Medicaid reimbursement hikes, abortion restrictions, anti-LGBTQ+ statutes, behavioral health spending, and workforce and insurance measures.
By Keely Larson -
After Idaho’s Strict Abortion Ban, OB-GYNs Stage a Quick Exodus
At least two Idaho hospitals are ending labor and delivery services, with one citing the state’s “legal and political climate” and noting that “recruiting replacements will be extraordinarily difficult” as doctors leave.
By Sarah Varney -
Community Paramedics Don’t Wait for an Emergency to Visit Rural Patients at Home
Community paramedicine is expanding nationwide, including in rural areas, as health care providers, insurers, and state governments recognize its potential to improve health and save money.
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Millions Are Stuck in Dental Deserts, With No Access to Oral Health Care
Vulnerable and marginalized communities are getting left behind in dental deserts, where patient volume exceeds provider capacity or too few dentists are willing to serve the uninsured or those on Medicaid.
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How a 2019 Florida Law Catalyzed a Hospital-Building Boom
In Wesley Chapel, Fla., near Tampa, residents will soon have three general hospitals within a five-minute drive. The new construction is part of a hospital-building boom across Florida unleashed almost four years ago, when the state dropped a requirement that companies obtain government approval to open new hospitals.
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A California Physician Training Program Adds Diversity, but Where Do Graduates End Up?
Researchers found that, while a University of California medical training program has diversified the system’s pool of medical students, there’s not enough long-term data to know whether graduates return to practice where they’re needed most.
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Depressed? Anxious? Air Pollution May Be a Factor
A growing body of research is finding links between air quality and mental health, as therapists report seeing patients with symptoms linked to pollution.
By Jim Robbins -
The CDC Lacks a Rural Focus. Researchers Hope a Newly Funded Office Will Help.
Advocates for improving rural health pushed for the CDC to extend its rural health focus by creating an Office of Rural Health. They hope the agency will commit to rural health research and provide analyses that lead to good public health policies for rural communities.
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People With Down Syndrome Are Living Longer, but the Health System Still Treats Many as Kids
The median life expectancy for a U.S. baby born with Down syndrome jumped from about four years in 1950 to 58 years in the 2010s. That’s largely because they no longer can be denied lifesaving care, including surgeries for heart defects. But now, aging adults with Down syndrome face a health system unprepared to care for them.
By Tony Leys -
As Montana’s Mental Health Crisis Care Crumbles, Politicians Promise Aid
One of Montana’s largest mental health providers has ratcheted back services amid financial troubles, leaving a vacuum. State policymakers have promised more money to aid behavioral health care, but lasting change could be years out.
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Doctor Shortages Distress Rural America, Where Few Residency Programs Exist
Patients in rural northeastern Nevada soon will have fewer providers and resources, after a local hospital decided to close its medical residency program. Nationally, the number of rural residency slots has grown during the past few years but still makes up just 2% of programs and residents nationwide.
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Abortion Clinics in Conservative-Led States Face Increasing Legal Threats
Since the U.S. Supreme Court reversed federal protections for abortions, medical providers in conservative-led states have been fighting legal and political battles — as well as escalating threats from the anti-abortion movement.
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Special Medicaid Funds Help Most States, but Prompt Oversight Concerns
Georgia is among 35-plus states that have used an under-the-radar federal funding mechanism to boost payments for hospitals and other providers under Medicaid. But a government watchdog and a congressional advisory commission say sparse oversight makes it hard to tell if the “directed payments” program is meeting its goals.
By Andy Miller -
Journalists Explain Impact of Texas Judge’s ACA Decision and Cuts in Federal Food Benefits
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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States Step In as Telehealth and Clinic Patients Get Blindsided by Hospital Fees
At least eight states have implemented or are considering limits on what patients can be billed for the use of a hospital’s facilities even without having stepped foot in the building.
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Minnesota Overhauled Substance Use Treatment. Rural Residents Still Face Barriers.
A recent policy change in Minnesota promotes quick evaluations and care for people with substance use disorders. But because of gaps riddling rural treatment systems nationwide, the promise of swift care isn’t reaching rural Minnesotans.
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Congressman Seeks to Plug ‘Shocking Loophole’ Exposed by KHN Investigation
A federal lawmaker has introduced a House bill that would close one of a laundry list of oversight gaps revealed in a recent KHN investigation of the system regulators use to ban fraudsters from billing government health programs, including Medicare and Medicaid.