Tracking State Rural Health Transformation Plans
吃瓜不打烊 is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
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吃瓜不打烊 is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
From screwworm to flesh-eating bacteria, mounting public health risks are emerging in the wake of deep cuts to federal health agencies and programs.
Four years after the Volunteer State enacted the nation鈥檚 first law allowing drugstores to sell ivermectin without patient-specific prescriptions, dozens of pharmacies dispense the drug in highly concentrated pills 鈥 many with the help of one anti-vaccine physician.
The Trump administration has laid out what millions of Americans on Medicaid must do to prove they鈥檙e working or completing other activities. Health policy researchers and consumer advocates say there are some important takeaways.
A KFF survey of state Medicaid officials offers insight into lingering uncertainty and differing plans for work requirement implementation as the Jan. 1 deadline approaches.
Florida is not mandated to add work requirements for Medicaid, because the state has not expanded eligibility to more low-income adults. But lawmakers have proposed requiring some adults in the state鈥檚 program to work anyway, a policy that could leave many uninsured.
Republicans have said new rules requiring many Medicaid participants to work 80 hours a month will pinpoint unemployed young people who should have jobs. Policy researchers say the rules are more likely to disrupt coverage for middle-aged adults, harming their physical and financial health.
Programs like Jamboree Housing Corp. have leveraged Medi-Cal funding to offer residents access to social services that experts say are key to keeping them off the streets. California intends to keep it that way, despite federal cuts.
Some patients who had liposuction or other surgeries later required emergency hospital care 鈥 and some died, court records show.
The Trump administration wants deep funding cuts for state-based legal services for disabled people, as rights advocates say the Justice Department pushed out many of its lawyers who worked on such issues.
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
People on Medicaid deemed 鈥渕edically frail鈥 won鈥檛 need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.
States are battling for their piece of $50 billion in federal rural health funding, but it鈥檚 not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid cuts loom.
Under a new law, many Americans will have to meet a work requirement to obtain and keep their Medicaid coverage. But due to an exemption, millions living in areas of high unemployment could be spared.
Tens of millions of people face sticker shock enrolling in Affordable Care Act insurance for 2026. To save money, the Trump administration wants them to consider less generous coverage.
Michigan鈥檚 former top health official spent a year and $30 million building a system to implement work requirements for Medicaid recipients. The difficulties he encountered have him worried about 40 states and Washington, D.C., having to launch such systems by 2027.
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
Work requirements are coming for the millions of Americans on Medicaid, due to the Republican tax and spend bill that President Donald Trump signed into law July 4. Currently, Georgia is the only state with a work requirement. Eligible Georgians say it鈥檚 very hard to get the system to confirm they qualify, putting their benefits at risk.
吃瓜不打烊' Renuka Rayasam breaks down what you need to know about Medicaid work requirements.
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