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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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 ϳԹ 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.
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Oregon Hospital Races To Build a Tsunami Shelter as FEMA Fights To Cut Its Funding
Columbia Memorial Hospital near Oregon’s coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval.
By Hannah Norman and Daniel Chang -
One Big Beautiful Bill Act Complicates State Health Care Affordability Efforts
The federal budget bill President Donald Trump signed into law in July is creating uncertainty for states trying to rein in health care spending. In California, a lawsuit by the hospital industry challenging state spending caps cites the law, which will slash Medicaid spending, as one of many financial pressures.
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Disability Rights Lawyers Threatened With Budget Cuts, Reassignments
The Trump administration wants deep funding cuts for state-based legal services for disabled people, as rights advocates say the Justice Department pushed out many of its lawyers who worked on such issues.
By Tony Leys -
Journalists Talk Increasing Insurance Costs, From Marketplace Plans to Employer Coverage
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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Sticker Shock: Obamacare Customers Confront Premium Spikes as Congress Dithers
With subsidies that give consumers extra help paying their health insurance premiums set to expire, lawmakers are again debating the Affordable Care Act. The difference this time: It’s happening in the middle of ACA open enrollment.
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Rural Health Providers Could Be Collateral Damage From $100K Trump Visa Fee
Dozens of health care organizations have asked the Trump administration to shield the doctors, nurses, and techs they need to fill shortages from the president’s new $100,000 visa fee for skilled foreign workers. So far, there’s no sign of a reprieve.
By Arielle Zionts and Phillip Reese -
A North Carolina Hospital Was Slated To Open in 2025. Mired in Bureaucracy, It’s Still a Dirt Field.
Regulations meant to prevent unfettered health care expansion are withholding needed hospital beds in a rural part of North Carolina. Here, as in communities around the country, some officials and health care providers are contesting such “certificate of need” laws.
By Andrew Jones -
Feds Promised ‘Radical Transparency’ but Withhold $50B Rural Fund Details
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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While Scientists Race To Study Spread of Measles in US, Kennedy Unravels Hard-Won Gains
Scientists are conducting genetic analyses to see if the measles outbreak that started in Texas is still spreading from state to state. It’s a contentious question, because the findings may determine whether America loses its measles-free status.
By Amy Maxmen -
Tracking Applications for Rural Health Transformation Funds
ϳԹ News is working to collect and post complete application materials, by state, here and will update this repository as new materials, released in response to public records requests, arrive.
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Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.
The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.
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Even as SNAP Resumes, New Work Rules Threaten Access for Years To Come
Even as the federal government resumed funding the nation’s largest food assistance program, people risk losing access to the aid because of new rules.
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RFK Jr. Wants To Delay the Hepatitis B Vaccine. Here’s What Parents Need To Know.
A CDC panel is reconsidering the birth dose of the hepatitis B vaccine. Renewed doubt could lead to fewer kids getting vaccinated, leaving them vulnerable to an incurable, preventable virus that can be acquired by indirect contact with infected blood.
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Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
By Sarah Jane Tribble and Arielle Zionts