Tracking State Rural Health Transformation Plans
ýҕl Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Kansas
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Trump Administration Demands Hospitals Share Emergency Room Records
The tiny federal agency that tracks consumer product safety is pressuring hospitals to turn over patient records from emergency room visits, including about injuries that have nothing to do with consumer products.
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Leadership Vacuum: Agencies in New York and Beyond Pass the Buck on Opioid Cash Oversight
The opioid settlements are a multibillion-dollar windfall with only loose spending suggestions rather than strict requirements. Some people directly affected by the crisis want stronger guardrails. But New York state’s experience highlights the challenge in finding a fiscal watchdog.
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Insurers Hedge on Trump-Backed Pledge To Improve Denials Process
Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatments. But prior authorization remains commonplace, and there's no evidence the government is trying to hold insurers to account.
By Lauren Sausser and Renuka Rayasam -
A Sales Tax on Doctor Visits and Medicine? In Missouri, Some Worry
A ballot measure to eliminate Missouri’s income tax would give the state legislature broad authority to levy new sales taxes to replace the lost revenue. Critics say that could mean adding a sales tax on medical services or prescription medicines. Those types of taxes are unusual, but not unheard of, in the U.S.
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Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays
Medicare is testing the use of artificial intelligence to preapprove several healthcare services. Federal health officials say prior authorization can help reduce fraud and contain costs. But doctors and patients describe the trial as “horrendous” and full of red tape so far.
By Darius Tahir -
Cheaper, Alternative Health Plans Are Having a Moment, but Critics Urge Caution
Congress' decision not to extend enhanced marketplace tax credits has boosted the appeal of alternative health coverage with lower monthly premiums. Consumer advocates dismiss the plans as "junk insurance,” while proponents say patients need alternatives to pricey marketplace options.
By Sarah Kwon -
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 -
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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New Medicaid Work Rules Likely To Hit Middle-Aged Adults Hard
Republicans have said new rules requiring many Medicaid participants to work 80 hours a month will pinpoint unemployed young people who should have jobs. Policy researchers say the rules are more likely to disrupt coverage for middle-aged adults, harming their physical and financial health.
By Samantha Liss and Sam Whitehead -
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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Criminally Ill: Systemic Failures Turn State Mental Hospitals Into Prisons
There has been a steep rise in the share of people with severe mental illnesses being sent to state psychiatric hospitals on court orders after being accused of serious crimes. The shift has all but halted patients’ ability to get care before they have a catastrophic crisis.
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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 -
Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.
People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
By Samantha Liss and Sam Whitehead -
South Carolina’s Measles Outbreak Shows Chilling Effect of Vaccine Misinformation
When a measles outbreak emerged in Spartanburg, South Carolina, in October, health officials announced that most cases were tied to one public charter school, where only 17% of the 605 students enrolled during the 2024-25 academic year provided documentation showing they had received their required vaccinations.
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Concerns Over Fairness, Access Rise as States Compete for Slice of $50B Rural Health Fund
Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.
By Sarah Jane Tribble and Arielle Zionts -
From Narcan to Gun Silencers, Opioid Settlement Cash Pays Law Enforcement Tabs
Local governments have received hundreds of millions of dollars from the opioid settlements to support addiction treatment, recovery, and prevention efforts. Their spending decisions in 2024 were sometimes surprising and even controversial. Our new database offers more than 10,500 examples.
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Blue States That Sued Kept Most CDC Grants, While Red States Feel Brunt of Trump Clawbacks
The Trump administration's cuts of public health funds to state and local health departments had vastly uneven effects depending on the political leanings of where someone lives, a new ýҕl Health News analysis shows.
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Even in States That Fought Obamacare, Trump’s New Law Poses Health Consequences
GOP lawmakers in 10 states have refused for a decade to expand Medicaid under the Affordable Care Act. But when President Donald Trump got another whack at Obamacare, these holdout states went unrewarded.
By Daniel Chang and Sam Whitehead -
$50B Rural Health ‘Slush Fund’ Faces Questions, Skepticism
Lawmakers added a $50 billion program for rural health to President Donald Trump’s massive tax and spending package with promises it would help plug the hole left by Medicaid cuts. Rural hospital and clinic leaders worry the infusion won’t reach the right places.