State-by-State Resources
Multidimensional Approaches to Ranking State-Level Rurality to Enhance Comparisons Across States
Provides a rurality index for all 50 U.S. states, utilizing measures of rural population percentage, rural land area percentage, and rural population density. Discusses the need for a multidimensional measure of rurality to provide an accurate tool for health policy research.
Author(s): Daniel Baslock, Nari Yoo
Citation: The Milbank Quarterly: A Multidisciplinary Journal of Population and Health Policy
Date: 12/2025
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Provides a rurality index for all 50 U.S. states, utilizing measures of rural population percentage, rural land area percentage, and rural population density. Discusses the need for a multidimensional measure of rurality to provide an accurate tool for health policy research.
Author(s): Daniel Baslock, Nari Yoo
Citation: The Milbank Quarterly: A Multidisciplinary Journal of Population and Health Policy
Date: 12/2025
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Rural Health Transformation Program State Application Summary: State-level Initiatives & Proposed Activities
Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Rural Health Transformation Program: 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: 10/2025
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: 10/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Caregiving in the US 2025: Caring Across States
Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Rural Health Transformation Program Resources
Offers data, analysis, and other resources related to the Rural Health Transformation Program (RHTP). Includes links to rural facility and population score estimates by state and an analysis of RHTP funding awarded for the first year by state.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Offers data, analysis, and other resources related to the Rural Health Transformation Program (RHTP). Includes links to rural facility and population score estimates by state and an analysis of RHTP funding awarded for the first year by state.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Traffic Safety Facts, 2023 Data: State Traffic Data
Contains information on fatal motor vehicle crashes and fatalities, using data from the Fatality Analysis Reporting System. Includes a state-level U.S. map showing percentage change in traffic fatalities from 2022-2023. Features state-by-state statistics on fatalities and fatality rates, percentage change from 1975-2023, population and vehicle miles traveled in 2014 and 2023, registered vehicles and licensed drivers in 2014 and 2023, vehicle type, restraint use, passenger fatalities, alcohol use and survivor status, and speeding-related fatalities by roadway function class, with breakdowns including interstate rural and urban interstate.
Date: 08/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Contains information on fatal motor vehicle crashes and fatalities, using data from the Fatality Analysis Reporting System. Includes a state-level U.S. map showing percentage change in traffic fatalities from 2022-2023. Features state-by-state statistics on fatalities and fatality rates, percentage change from 1975-2023, population and vehicle miles traveled in 2014 and 2023, registered vehicles and licensed drivers in 2014 and 2023, vehicle type, restraint use, passenger fatalities, alcohol use and survivor status, and speeding-related fatalities by roadway function class, with breakdowns including interstate rural and urban interstate.
Date: 08/2025
Sponsoring organization: National Highway Traffic Safety Administration
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LTSS Users by State, County, and Setting
Interactive dashboard presenting data on the number of Medicaid enrollees that use long-term services and supports (LTSS) at the national, state, and county-levels in 2022. Includes data on LTSS users, Medicaid Home- and Community-Based Services (HCBS) users, and institutional LTSS users by age, dual-enrollment status, and sex.
Date: 06/2025
Sponsoring organizations: ATI Advisory, The SCAN Foundation
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Interactive dashboard presenting data on the number of Medicaid enrollees that use long-term services and supports (LTSS) at the national, state, and county-levels in 2022. Includes data on LTSS users, Medicaid Home- and Community-Based Services (HCBS) users, and institutional LTSS users by age, dual-enrollment status, and sex.
Date: 06/2025
Sponsoring organizations: ATI Advisory, The SCAN Foundation
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5 Key Facts About Medicaid Coverage for People Living in Rural Areas
Provides an overview of Medicaid coverage in rural areas. Includes rural versus urban comparisons of Medicaid coverage, enrollee age, enrollee diagnosed chronic conditions, state-by-state data of Medicaid enrollees by degree of rurality, and more.
Author(s): Rhiannon Euhus, Sammy Cervantes, Alice Burns, Robin Rudowitz
Date: 06/2025
Sponsoring organization: KFF
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Provides an overview of Medicaid coverage in rural areas. Includes rural versus urban comparisons of Medicaid coverage, enrollee age, enrollee diagnosed chronic conditions, state-by-state data of Medicaid enrollees by degree of rurality, and more.
Author(s): Rhiannon Euhus, Sammy Cervantes, Alice Burns, Robin Rudowitz
Date: 06/2025
Sponsoring organization: KFF
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Rural Transit Fact Book, 2025
Features national-, state-, and county-level information on rural transit in the United States. Includes rural and urban comparisons on demographics and transportation. Provides information for agencies receiving section 5311 funding and includes a section on tribal transit.
Author(s): Jeremy Mattson, Del Peterson
Date: 06/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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Features national-, state-, and county-level information on rural transit in the United States. Includes rural and urban comparisons on demographics and transportation. Provides information for agencies receiving section 5311 funding and includes a section on tribal transit.
Author(s): Jeremy Mattson, Del Peterson
Date: 06/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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Medicaid Plays A Key Role for Maternal and Infant Health in Rural Communities
Explores the role of Medicaid in covering women of childbearing age - 19 through 44 years old - living in small towns and rural areas. Presents data from the 2023 U.S. Census Bureau's American Community Survey (ACS) Public Use Microdata Sample (PUMS) on the percentage of women of childbearing age in small towns and rural areas who have Medicaid coverage by state and compares the share of Medicaid coverage to similar women in metropolitan counties. Describes the percentage of women of childbearing age with Medicaid coverage as a share of non-elderly adults with Medicaid across Medicaid expansion states and non-expansion states. Highlights the 20 small towns and rural areas with the highest share of women of childbearing age covered by Medicaid.
Date: 05/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Explores the role of Medicaid in covering women of childbearing age - 19 through 44 years old - living in small towns and rural areas. Presents data from the 2023 U.S. Census Bureau's American Community Survey (ACS) Public Use Microdata Sample (PUMS) on the percentage of women of childbearing age in small towns and rural areas who have Medicaid coverage by state and compares the share of Medicaid coverage to similar women in metropolitan counties. Describes the percentage of women of childbearing age with Medicaid coverage as a share of non-elderly adults with Medicaid across Medicaid expansion states and non-expansion states. Highlights the 20 small towns and rural areas with the highest share of women of childbearing age covered by Medicaid.
Date: 05/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Additional resources are available. See a full list of State-by-State Resources.