State-by-State Resources
Medicaid's Role in Small Towns and Rural Areas
Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Child Maltreatment 2023
Reports on rates of children receiving child protective services, children who died of abuse and neglect, and children who are victims of maltreatment, using data collected from the National Child Abuse and Neglect Data System (NCANDS). Offers information on availability and access to child protective services at the state and territory level, including how some counties respond to child abuse and neglect screenings, referrals, and the provision of services. Includes data broken down by race/ethnicity as well as discussions specific to rural and tribal areas.
Date: 01/2025
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Reports on rates of children receiving child protective services, children who died of abuse and neglect, and children who are victims of maltreatment, using data collected from the National Child Abuse and Neglect Data System (NCANDS). Offers information on availability and access to child protective services at the state and territory level, including how some counties respond to child abuse and neglect screenings, referrals, and the provision of services. Includes data broken down by race/ethnicity as well as discussions specific to rural and tribal areas.
Date: 01/2025
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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America's Health Rankings 2025 Health of Women and Children Report
Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in mortality, severe morbidity, healthcare access, substance use, mental health conditions, and more among reproductive-age women at the national level, including a spotlight on chronic conditions among women in rural communities on document page 3. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage by County, State Summaries
Date: 2025
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in mortality, severe morbidity, healthcare access, substance use, mental health conditions, and more among reproductive-age women at the national level, including a spotlight on chronic conditions among women in rural communities on document page 3. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage by County, State Summaries
Date: 2025
Sponsoring organization: United Health Foundation
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Why Rural Matters 2025: People, Place, and Possibility
Describes educational, social, and health outcomes associated with rural schools. Includes state-level data, rankings, and comparisons to the U.S. as a whole.
Additional links: Communications Toolkit, Executive Summary, Maps, State-by-State Results
Author(s): Daniel Showalter, Sara L. Hartman, Karen Eppley, Jerry Johnson, Bob Klein
Date: 2025
Sponsoring organization: National Rural Education Association
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Describes educational, social, and health outcomes associated with rural schools. Includes state-level data, rankings, and comparisons to the U.S. as a whole.
Additional links: Communications Toolkit, Executive Summary, Maps, State-by-State Results
Author(s): Daniel Showalter, Sara L. Hartman, Karen Eppley, Jerry Johnson, Bob Klein
Date: 2025
Sponsoring organization: National Rural Education Association
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State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau's 2023 American Community Survey
Uses data from the 2023 American Community Survey (ACS) to present state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics. Analyzes the population of uninsured individuals ages 0-64 by family income levels.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Uses data from the 2023 American Community Survey (ACS) to present state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics. Analyzes the population of uninsured individuals ages 0-64 by family income levels.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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2023 National and State Healthcare-Associated Infections Progress Report
Examines progress on reducing healthcare-associated infection rates for 6 types of infections in Acute Care Hospitals, Critical Access Hospitals, Inpatient Rehabilitation Facilities, and Long-term Acute Care Hospitals. Compares observed versus expected infection rates using 2015 baseline data. Includes national and state data tables on infection-specific standardized infection ratios (SIRs) and standardized utilization ratios (SURs) for each facility type.
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Examines progress on reducing healthcare-associated infection rates for 6 types of infections in Acute Care Hospitals, Critical Access Hospitals, Inpatient Rehabilitation Facilities, and Long-term Acute Care Hospitals. Compares observed versus expected infection rates using 2015 baseline data. Includes national and state data tables on infection-specific standardized infection ratios (SIRs) and standardized utilization ratios (SURs) for each facility type.
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Access to Health Care in Rural America: Current Trends and Key Challenges
Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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2023 Report to Congress on the State Opioid Response Grants (SOR)
Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Date: 09/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Date: 09/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The State of Obesity 2024: Better Policies for a Healthier America
Presents data on adult and childhood obesity rates, with breakdowns by state and select demographic characteristics. Examines current and emerging policies, provides funding opportunities, and outlines recommended policy actions. Includes a special feature about food environments and systems.
Author(s): Molly Warren, Madison West
Date: 09/2024
Sponsoring organization: Trust for America's Health
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Presents data on adult and childhood obesity rates, with breakdowns by state and select demographic characteristics. Examines current and emerging policies, provides funding opportunities, and outlines recommended policy actions. Includes a special feature about food environments and systems.
Author(s): Molly Warren, Madison West
Date: 09/2024
Sponsoring organization: Trust for America's Health
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An Increasing Number of States Filled Conrad 30 Waivers for Recruiting International Medical Graduates
Examines the Conrad 30 visa waiver program between 2001 and 2020 and offers findings related to variations by specialty and geography at the state level. Discusses disparate distribution of Conrad physicians in rural areas.
Author(s): Tarun Ramesh, Sarah E. Brotherton, Gregory D. Wozniak, Hao Yu
Citation: Health Affairs Scholar, 2(9), qxae103
Date: 09/2024
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Examines the Conrad 30 visa waiver program between 2001 and 2020 and offers findings related to variations by specialty and geography at the state level. Discusses disparate distribution of Conrad physicians in rural areas.
Author(s): Tarun Ramesh, Sarah E. Brotherton, Gregory D. Wozniak, Hao Yu
Citation: Health Affairs Scholar, 2(9), qxae103
Date: 09/2024
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Additional resources are available. See a full list of State-by-State Resources.
Last Updated: 1/26/2026