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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

President Trump Participates in The Great, Historic Investment in Rural Health Roundtable
Recording of a January 16, 2026, roundtable on rural healthcare, including the Rural Health Transformation Program. Features remarks from Health and Human Services Secretary Robert F. Kennedy Jr., Centers for Medicare & Medicaid Services (CMS) Administrator Mehmet Oz, Agriculture Secretary Brooke Rollins, members of Congress, and rural providers.
Sponsoring organization: The White House
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Fact Sheet: President Donald J. Trump Celebrates the Great, Historic Investment in Rural Health
Fact Sheet outlining federal actions taken in support of rural healthcare in 2025, including the establishment of the Rural Health Transformation Program and announcement of first year awards.
Sponsoring organization: The White House
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Texas Rural Health Transformation Program
Provides information on Texas's Rural Health Transformation Program. Presents a summary of proposed initiatives and includes links to initial and revised components of Texas's program application, including the project narrative and budget narrative.
Additional links: Budget Period 1 Revised Budget Narrative, Other Supporting Materials, Project Abstract Summary, Revised Project Narrative
Sponsoring organization: Texas Health and Human Services
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Hawaiʻi's Rural Health Transformation Plan
Provides information on Hawaii's Rural Health Transformation Program. Summarizes proposed initiatives and includes links to Hawaii's application.
Additional links: Application
Sponsoring organization: Executive Office of the State of Hawaii
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Kentucky ​​​​​​​​​​​​​​​​​​​​​​​​​​​Rural Health Transformation
Provides information on Kentucky's Rural Health Transformation Program. Presents an overview of program initiatives, key policy priorities, and links to Kentucky's program application and other resources.
Additional links: Project Narrative, Project Summary, Supporting Documentation
Sponsoring organization: Kentucky Cabinet for Health and Family Services
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Oklahoma Rural Health Transformation Program
Provides information on Oklahoma's Rural Health Transformation Program. Presents an overview of proposed initiatives, frequently asked questions, upcoming engagement opportunities, links to components of Oklahoma's program application, and more.
Additional links: Application Summary, Budget Narrative, Project Narrative
Sponsoring organization: Oklahoma State Department of Health
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Code of Federal Regulations: 42 CFR 485: Subpart E, Conditions of Participation: Rural Emergency Hospitals (REHs)
Sets forth the conditions that a hospital must meet to be designated as a Rural Emergency Hospital (REH).
Sponsoring organization: Centers for Medicare & Medicaid Services
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Nebraska Rural Health Transformation
Provides information on Nebraska's Rural Health Transformation Program. Describes program initiatives and timelines. Includes links to Nebraska's project abstract and project narrative.
Additional links: Project Narrative, Project Summary
Sponsoring organization: Nebraska Department of Health and Human Services
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LEAD (Long-Term Enhanced ACO Design) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's LEAD (Long-term Enhanced ACO Design) Model, an Accountable Care Organization (ACO) model set to launch at the end of 2026. It will promote coordinated care for high-needs patients, such as those eligible for both Medicare and Medicaid, and those who are homebound or home limited, and includes improved benchmarking for new ACOs and smaller, independent or rural-based practices.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Emergency Medical Services Legislation Database
Identifies state legislation addressing emergency medical services, including administration, funding, regulations, systems of care, and workforce. Updated every two weeks, with information on legislation starting in 2021. Searchable by year, state, topic, or keyword.
Sponsoring organization: National Conference of State Legislatures
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