State-by-State Resources
The State of Mental Health in America 2026
Report presents data on mental health and substance use for youth and adults across all 50 states. Highlights barriers to mental health wellness, such as lack of mental healthcare coverage, mental health workforce shortages, and cost of treatment, among other factors. Discusses some challenges specific to rural communities.
Author(s): Maddy Reinert
Date: 11/2026
Sponsoring organization: Mental Health America
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Report presents data on mental health and substance use for youth and adults across all 50 states. Highlights barriers to mental health wellness, such as lack of mental healthcare coverage, mental health workforce shortages, and cost of treatment, among other factors. Discusses some challenges specific to rural communities.
Author(s): Maddy Reinert
Date: 11/2026
Sponsoring organization: Mental Health America
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Rural Health Transformation State Scorecards: Budget Period 1
Provides an overview of each state's progress implementing the Rural Health Transformation Program (RHTP) through July 31, 2026. Reflects information reported by states in their Year 1 RHTP Annual Reports. Covers the status of state policy actions, Make Rural America Healthy Again state policy commitments, and the speed at which the state has implemented RHTP initiatives based on the number of checkpoints completed. Includes the amount of RHTP funding each state received for budget periods 1 and 2.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of each state's progress implementing the Rural Health Transformation Program (RHTP) through July 31, 2026. Reflects information reported by states in their Year 1 RHTP Annual Reports. Covers the status of state policy actions, Make Rural America Healthy Again state policy commitments, and the speed at which the state has implemented RHTP initiatives based on the number of checkpoints completed. Includes the amount of RHTP funding each state received for budget periods 1 and 2.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural Health Transformation Program State Programmatic Snapshots: 2026 Release - Year 2 Funding
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas. Describes policy action commitments outlined in states' project narratives and the funding states received related to these commitments for budget period 2. Includes overall funding amounts received by states for budget periods 1 and 2.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas. Describes policy action commitments outlined in states' project narratives and the funding states received related to these commitments for budget period 2. Includes overall funding amounts received by states for budget periods 1 and 2.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2024: A State-by-State Report
Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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A Review of the Rural Health Transformation Program Year 1 Obligated Funds
Discusses states' obligation of first-year Rural Health Transformation Program (RHTP) funding through July 2026. Describes the degree to which states have committed funding across eight categories: workforce, health system innovation, technology, payment and service delivery models, disease prevention and care, accessible care, population health, and health promotion. Includes data on the percent of RHTP funding obligated by state through July 2026.
Date: 10/2026
Sponsoring organization: National Rural Health Association
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Discusses states' obligation of first-year Rural Health Transformation Program (RHTP) funding through July 2026. Describes the degree to which states have committed funding across eight categories: workforce, health system innovation, technology, payment and service delivery models, disease prevention and care, accessible care, population health, and health promotion. Includes data on the percent of RHTP funding obligated by state through July 2026.
Date: 10/2026
Sponsoring organization: National Rural Health Association
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Rural Health Transformation Program State Programmatic Snapshots: 2026 Release - Year 1 Funding
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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RHTP Obligated Funds Report
Presents information on Rural Health Transformation Program funding states have obligated to state agencies, contractors and vendors, community partners, hospitals, and others as of July 31, 2026. Updated quarterly.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents information on Rural Health Transformation Program funding states have obligated to state agencies, contractors and vendors, community partners, hospitals, and others as of July 31, 2026. Updated quarterly.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Annual Overview of Hospital-Level Changes in Obstetric Services Availability, 2010-2024
First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Year 1 Rural Health Transformation Program Community Health Center & Primary Care Association Award Recipients
Excel spreadsheet displaying the state primary care associations (PCAs) and health centers that received funding through each state's Rural Health Transformation Program. Includes the funding amount and description of each initiative.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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Excel spreadsheet displaying the state primary care associations (PCAs) and health centers that received funding through each state's Rural Health Transformation Program. Includes the funding amount and description of each initiative.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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State RHTP & Telehealth Database
Excel spreadsheet detailing the telehealth-related initiatives included in each state's Rural Health Transformation Program project narrative. Allows users to filter by telehealth modality, healthcare issue addressed, proposed use of AI, and more.
Date: 08/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Excel spreadsheet detailing the telehealth-related initiatives included in each state's Rural Health Transformation Program project narrative. Allows users to filter by telehealth modality, healthcare issue addressed, proposed use of AI, and more.
Date: 08/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Additional resources are available. See a full list of State-by-State Resources.