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Feds promised ‘radical transparency’ but are withholding rural health fund applications
Federal and state officials cite confidentiality and competitive fairness to limit access to full $50 billion Rural Health Transformation Program applications, with nearly 40 states releasing summaries.
- Centers for Medicare & Medicaid Services said it will follow federal rules when releasing application materials, with all 40 states submitting applications and awards expected later.
- Earlier this year, HHS leadership touted increased transparency while following federal grant rules; grant applications remain nonpublic during merit review, CMS said, to protect evaluation integrity and confidentiality.
- Some states published complete applications while others withheld materials or cited draft or proprietary exemptions; Idaho, Iowa, Kansas, Minnesota, New Mexico, North Dakota, South Carolina, and Wyoming released full applications including medication-delivering drones and telehealth at local libraries.
- Stakeholders say limited disclosure and a 15% cap on direct payments could worsen financial strain for rural hospitals and clinics, while Democrats and health-care advocates warn politics may affect state awards.
- Under the law, half of the $50 billion is split equally among approved states and $12.5 billion is performance-based; the One Big Beautiful Bill Act also projects a $137 billion rural Medicaid cut over 10 years.
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Feds promised ‘radical transparency’ but are withholding rural health fund applications
By Sarah Jane Tribble, Arielle Zionts, KFF Health News Medication-delivering drones and telehealth at local libraries are among the ideas state leaders revealed in November for spending their share of a $50 billion federal rural health program. Related Articles FDA opens safety review of injectable RSV drugs approved for babies and toddlers How a rare drug made from scientists’ blood saves babies from botulism …
Coverage Details
Total News Sources15
Leaning Left0Leaning Right2Center12Last UpdatedBias Distribution86% Center
Bias Distribution
- 86% of the sources are Center
86% Center
C 86%
14%
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