Rural Health
Resources by Topic: Funding
Supporting Rural Health Facilities
Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Rural Health Transformation Program Resources: Rural Facility and Population Score Estimates by State
Spreadsheet indicating estimated rural facility and population scores for each state according to the methodology in Appendix 4 of the Rural Health Transformation Program Notice of Funding Opportunity.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Spreadsheet indicating estimated rural facility and population scores for each state according to the methodology in Appendix 4 of the Rural Health Transformation Program Notice of Funding Opportunity.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Tornadoes: Agencies Promote Resilience but Actions Needed to Improve Access to FEMA Assistance
Report investigating accessibility of FEMA assistance funding for tribal and rural communities. Discusses grant writing, cost share, benefit-cost analyses, infrastructure, emergency management staffing, and more.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Report investigating accessibility of FEMA assistance funding for tribal and rural communities. Discusses grant writing, cost share, benefit-cost analyses, infrastructure, emergency management staffing, and more.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Tracking State Preparation for the Rural Health Transformation Program
Presents an interactive map displaying state actions to inform the creation of a transformation plan in preparation for the Rural Health Transformation Program application.
Author(s): Heather Howard, Rebecca Lopez, Jamila McLean
Date: 09/2025
Sponsoring organization: State Health & Value Strategies
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Presents an interactive map displaying state actions to inform the creation of a transformation plan in preparation for the Rural Health Transformation Program application.
Author(s): Heather Howard, Rebecca Lopez, Jamila McLean
Date: 09/2025
Sponsoring organization: State Health & Value Strategies
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Distribution of Block Grant Funding: Considerations for Rural Communities
Analyzes the allocation of federal block grant funding from states to local communities via case studies of public health, community development, and substance use treatment funding distribution in six states. Highlights barriers and facilitators of rural funding, including agency staffing, flexibility, and cooperation and state-by-state variation in approaches to rurality.
Author(s): Kate E. Beatty, Casey P. Balio, Margaret M. Francisco, Michael B. Meit, Stephanie M. Mathis
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Analyzes the allocation of federal block grant funding from states to local communities via case studies of public health, community development, and substance use treatment funding distribution in six states. Highlights barriers and facilitators of rural funding, including agency staffing, flexibility, and cooperation and state-by-state variation in approaches to rurality.
Author(s): Kate E. Beatty, Casey P. Balio, Margaret M. Francisco, Michael B. Meit, Stephanie M. Mathis
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Rural and Tribal Transit: The Federal Transit Administration Should Evaluate Its Efforts to Help Improve Accessibility and Service
Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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A Rural Lens on Federal Block Grant Distribution
Provides an overview on federal block grants and how they are allocated in rural and underserved areas. Includes data on funding allocation, interview feedback from grant representatives, and an analysis of the application materials of 5 block grants: Preventive Health and Health Services (PHHS), Community Services Block Grant (CSBG), Child Care and Development Fund/Block Grant (CCDF, CCDBG), Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUBG), and the Community Mental Health Services Block Grant (MHBG). Discusses how federal block grants can move toward equitable distribution for rural communities.
Author(s): Casey P. Balio, Stephanie M. Mathis, Margaret M. Francisco, Michael B. Meit, Kate E. Beatty
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Provides an overview on federal block grants and how they are allocated in rural and underserved areas. Includes data on funding allocation, interview feedback from grant representatives, and an analysis of the application materials of 5 block grants: Preventive Health and Health Services (PHHS), Community Services Block Grant (CSBG), Child Care and Development Fund/Block Grant (CCDF, CCDBG), Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUBG), and the Community Mental Health Services Block Grant (MHBG). Discusses how federal block grants can move toward equitable distribution for rural communities.
Author(s): Casey P. Balio, Stephanie M. Mathis, Margaret M. Francisco, Michael B. Meit, Kate E. Beatty
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Federally Supported Projects and Programs for Wastewater, Drinking Water, and Water Supply Infrastructure
Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide community support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2025 appropriations highlights for each program.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide community support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2025 appropriations highlights for each program.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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The Agency for Healthcare Research and Quality's Investments in Primary Care Research for 2023 and 2024
Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2023 and 2024. See document pages 88-90 for summaries of rural primary care research grants.
Additional links: At-a-Glance: AHRQ's Recent Investments in Primary Care Research
Author(s): Jessie Gerteis, Neve Brennan, Jessica McNab, et al.
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2023 and 2024. See document pages 88-90 for summaries of rural primary care research grants.
Additional links: At-a-Glance: AHRQ's Recent Investments in Primary Care Research
Author(s): Jessie Gerteis, Neve Brennan, Jessica McNab, et al.
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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A Twenty-Year Review: Revisiting the Drinking Water and Wastewater Infrastructure Funding Needs and Gaps in the Appalachian Region
Provides county, state, and metro versus nonmetro data on water and wastewater infrastructure in the Appalachian region. Discusses funding and collaborative possibilities to improve critical infrastructure in Appalachian communities.
Additional links: Executive Summary
Author(s): Ahmed Rachid El-Khattabi, Christy M. Ihlo, Leigh Anne Krometis, Kara Millonzi
Date: 08/2025
Sponsoring organization: Appalachian Regional Commission
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Provides county, state, and metro versus nonmetro data on water and wastewater infrastructure in the Appalachian region. Discusses funding and collaborative possibilities to improve critical infrastructure in Appalachian communities.
Additional links: Executive Summary
Author(s): Ahmed Rachid El-Khattabi, Christy M. Ihlo, Leigh Anne Krometis, Kara Millonzi
Date: 08/2025
Sponsoring organization: Appalachian Regional Commission
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