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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State Lawmakers Seek Restraints on Wage Garnishment for Medical Debt
At least eight states are considering legislation to curtail wage garnishment over unpaid medical bills, as health care costs rise and more people become underinsured.
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Nevada Debuts Public Option Amid Tumultuous Federal Changes to Health Care
The state recently became the third to offer a public option health plan through its Affordable Care Act marketplace. But researchers said it’s unlikely to fill the gaps left by sweeping changes at the federal level.
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Wyoming Wants To Make Its Five-Year Federal Rural Health Funding Last ‘Forever’
State officials believe they’ve found a way to extend the life of federal Rural Health Transformation Program money Wyoming is receiving as part of last summer’s One Big Beautiful Bill Act — by investing most of it.
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Clinics Sour on CMS After Agency Scraps 10-Year Primary Care Program Only Months In
A planned 10-year federal program called Making Care Primary was supposed to help primary care doctors by easing administrative burdens, allowing them to focus on improving patients’ health. A year after the Trump administration eliminated the program, federal officials created an alternative plan that favors companies.
By Andrew Jones -
Alabama’s ‘Pretty Cool’ Plan for Robots in Maternity Care Sparks Debate
Alabama, a state with one of the nation’s highest infant mortality rates, is betting on robots to help fix its maternal care crisis. But the state’s plan for telerobotic ultrasounds in rural areas has raised doubts.
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Louisville Found PFAS in Drinking Water. The Trump Administration Wouldn’t Require Any Action.
After detecting a sudden spike in PFAS in its drinking water, the city traced it upstream along the Ohio River to a factory in West Virginia. But the EPA has relaxed Biden-era plans to regulate PFAS levels. So what happens next?
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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
ϳԹ 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
ϳԹ News journalists made the rounds on local and regional media recently to discuss topical stories. Here’s a collection of their appearances.