State-by-State Resources
Map Monday: Rural Hospitals Closing Their Doors
Map of rural hospital closures since 2005. Use the "switch view" drop down to see a mobile friendly version of the map.
Date: 08/2023
Sponsoring organization: National Conference of State Legislatures
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Map of rural hospital closures since 2005. Use the "switch view" drop down to see a mobile friendly version of the map.
Date: 08/2023
Sponsoring organization: National Conference of State Legislatures
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Where You Live Matters: Maternity Care Deserts and the Crisis of Access and Equity
Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Sponsoring organization: March of Dimes
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Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Sponsoring organization: March of Dimes
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Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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2023 Scorecard on State Health System Performance
Evaluates state health systems on a state-by-state basis. Enables comparison between state health systems across 58 measures, such as access and affordability, prevention and treatment, reproductive care and women's health, and racial and ethnic equity, among others.
Author(s): David C. Radley, Jesse C. Baumgartner, Sara R. Collins, Laurie C. Zephyrin
Date: 06/2023
Sponsoring organization: Commonwealth Fund
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Evaluates state health systems on a state-by-state basis. Enables comparison between state health systems across 58 measures, such as access and affordability, prevention and treatment, reproductive care and women's health, and racial and ethnic equity, among others.
Author(s): David C. Radley, Jesse C. Baumgartner, Sara R. Collins, Laurie C. Zephyrin
Date: 06/2023
Sponsoring organization: Commonwealth Fund
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HealthCare.gov Marketplace Plan Selections by Rural Status
Presents data on consumers who selected or were automatically reenrolled in a Marketplace medical plan during the 2023 open enrollment period. Includes state-by-state breakdowns of rural versus urban enrollees by ZIP code location, a U.S. map showing total enrollees by state, and open enrollment trends from 2017 to 2023.
Date: 2023
Sponsoring organization: KFF
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Presents data on consumers who selected or were automatically reenrolled in a Marketplace medical plan during the 2023 open enrollment period. Includes state-by-state breakdowns of rural versus urban enrollees by ZIP code location, a U.S. map showing total enrollees by state, and open enrollment trends from 2017 to 2023.
Date: 2023
Sponsoring organization: KFF
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ARPA's Enhanced Premium Subsidies Provide Particularly Large Benefits to Residents of Rural Areas
Compares the differences between average Marketplace benchmark monthly premiums in urban and rural areas in each state in 2022. Discusses the impact of the American Rescue Plan Act (ARPA) expanded premium subsidies in rural areas.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 05/2022
Sponsoring organization: Urban Institute
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Compares the differences between average Marketplace benchmark monthly premiums in urban and rural areas in each state in 2022. Discusses the impact of the American Rescue Plan Act (ARPA) expanded premium subsidies in rural areas.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 05/2022
Sponsoring organization: Urban Institute
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American Indian/Alaskan Native Health Medicaid Telehealth Services Chart
Spreadsheet database of state-by-state telehealth policies related to American Indian/Alaska Native health services. Covers live video, store-and-forward, and remote patient monitoring policies, as well as billing and reimbursement information. Includes links to state policy manuals.
Date: 04/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Spreadsheet database of state-by-state telehealth policies related to American Indian/Alaska Native health services. Covers live video, store-and-forward, and remote patient monitoring policies, as well as billing and reimbursement information. Includes links to state policy manuals.
Date: 04/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fourteenth Broadband Deployment Report
Reports on broadband deployment in the U.S., with information specific to broadband access in rural and tribal communities and the U.S. territories. Includes rural broadband deployment data by state and county.
Date: 01/2021
Sponsoring organization: Federal Communications Commission
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Reports on broadband deployment in the U.S., with information specific to broadband access in rural and tribal communities and the U.S. territories. Includes rural broadband deployment data by state and county.
Date: 01/2021
Sponsoring organization: Federal Communications Commission
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Health Disparities Report 2021
Report examining health disparity trends based on data from America's Health Rankings reports. Offers reports by state and discusses disparities related to social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Most state reports offer data comparisons by metro and non-metro residence.
Additional links: Executive Brief, State Summaries
Date: 2021
Sponsoring organization: United Health Foundation
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Report examining health disparity trends based on data from America's Health Rankings reports. Offers reports by state and discusses disparities related to social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Most state reports offer data comparisons by metro and non-metro residence.
Additional links: Executive Brief, State Summaries
Date: 2021
Sponsoring organization: United Health Foundation
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Health Care Access for Infants and Toddlers in Rural Areas
Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Additional resources are available. See a full list of State-by-State Resources.
Last Updated: 3/28/2025