Tracking State Rural Health Transformation Plans
Ńī¹óåś“«Ć½Ņīl Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Wyoming
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PERSPECTIVE
My Search for a Psychiatric Bed in an Overburdened Health System
Over the past 70 years, the number of inpatient psychiatric beds has dropped dramatically, leaving many without critical care when they experience mental health crises. I was one of the lucky ones to get a bed ā after 21 hours of waiting.
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Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as ābold, creative plansā led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
By Sarah Jane Tribble and Arielle Zionts -
Festering Infections to Untreated Cancer: ICE Detainees Describe Medical Neglect Across US
Immigrant detainees have told courts across the nation that detention officials have failed to treat or stabilize their conditions, from pregnancy to prostate cancer, suggesting that systemic lapses in care extend well beyond record deaths in Immigration and Customs Enforcement custody.
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Montana Hurries To Adopt Trumpās Medicaid Work Rules Amid Budget Woes
The state is ramping up to implement the federal work requirements six months ahead of the deadline. But Montana is one of several states already struggling to pay for health services.
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License To Deliver: Some Midwives Break the Law To Assist With Home Births
Some states bar professional midwives from attending home births if they donāt have a nursing license. Their advocates say laws to allow midwife licensing would make home birth safer and more accessible, plus help address a maternity care shortage.
By Lisa Rab -
Trump Demands Medicaid Data for Deportation. Some States Go a Step Further.
Several states have required their health agencies to take on another job: verifying immigration status among Medicaid recipients and reporting them to the U.S. Department of Homeland Security. North Carolina is the latest to pass such a law, and experts expect more to follow.
By Andrew Jones -
Big Companies Position Themselves for Payday From $50B Federal Rural Health Fund
A $50 billion federal fund is supposed to modernize rural health with electronic health records, AI, telehealth, and more. But community clinics and rural health advocates fear that the contractors administering the money for states will bite off a big chunk before it reaches rural patients.
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Rural Nebraska Dialysis Unit Closes Despite the Stateās $219M in Rural Health Funding
A rural Nebraska dialysis unit that was hemorrhaging money closed, upending patientsā lives. Thatās despite a federal rural health program that granted the state more than $200 million this year to improve health care in rural communities.
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States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
Some states already donāt have enough staff to quickly process Medicaid applications and answer enrolleesā phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, predicting people will lose coverage as a result.
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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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Lawmakers, Health Groups Resist Their Statesā Rural Health Fund Plans
Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administrationās $50 billion federal rural health fund. Federal administrators already approved statesā plans, but in many cases, state lawmakers must greenlight spending.
By Arielle Zionts and Sarah Jane Tribble -
Medicaid Is Paying for More Dental Care. GOP Cuts Threaten To Reverse the Trend.
More than three dozen states cover dental services for low-income and disabled individuals on Medicaid, in recognition of such careās importance to overall health. But with about $900 billion in funding cuts expected to hit states over the next decade, many programs could roll back dental coverage.
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Wyoming Wants To Make Its Five-Year Federal Rural Health Funding Last āForeverā
State officials believe theyāve found a way to extend the life of federal Rural Health Transformation Program money Wyoming is receiving as part of last summerās One Big Beautiful Bill Act ā by investing most of it.
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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 -
States Advance Medical Debt Protections as Federal Support Turns to Opposition
Federal officials reversed their stance on medical debt credit reporting, then came a lawsuit in Colorado. As lawmakers in other states forge ahead with attempts to protect consumers from medical debt, some are reconsidering how they go about it.
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Feds Promised āRadical Transparencyā 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 āMedically Frail.ā Deciding Who Qualifies Is Tricky.
People on Medicaid deemed āmedically frailā wonāt 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 -
States Jostle Over $50B Rural Health Fund as Trumpās Medicaid Cuts Trigger Scramble
States are battling for their piece of $50 billion in federal rural health funding, but itās not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid cuts loom.
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Nuclear Missile Workers Are Contracting Cancer. They Blame the Bases.
People who maintained the nationās land-based nuclear missile arsenal are coming down with similar cancers. The Air Force is wrapping up a large study of the health risks they may have faced.