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.
Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatments. But prior authorization remains commonplace, and there's no evidence the government is trying to hold insurers to account.
California鈥檚 laws still leave extradition decisions related to reproductive rights and gender-affirming care to its governor. But as states with abortion bans target California physicians who prescribe abortion pills across state lines, Democrats want to lock in protections for doctors, no matter who the next governor is.
Republicans say California鈥檚 use of Medicaid money for social services amounts to waste, fraud, and abuse. But even as Gov. Gavin Newsom voices concern about losing funding, he says he鈥檚 proud of the state鈥檚 holistic approach to caring for its sickest and most expensive patients.
New Medicaid work requirements could make a complex system even harder for farmworkers to navigate.
Thousands of people who had a Medicare drug plan with zero-dollar premiums last year got small premium increases this year 鈥 and didn鈥檛 know it. They were dropped from their coverage for failing to pay amounts as little as $8, and most can鈥檛 get it again until 2027.
Trinity Moravian Church, a politically diverse congregation in Winston-Salem, North Carolina, has been raising money to retire medical debt in the surrounding community.
After congressional Republicans let expanded subsidies for Affordable Care Act plans expire at the end of last year, some families have decided the price is too great of a financial burden and canceled their coverage.
The research is clear: Among the various complex issues that contribute to suicide, loneliness is a big one. Now, there鈥檚 a growing push to address loneliness not just through personal choices but also through public policy.
Many telehealth companies have emerged in recent years offering easy access to GLP-1 weight loss drugs as demand has exploded. Meanwhile, researchers and doctors are concerned that some of these online companies aren't properly screening or monitoring patients. 鈥淚t gives a black eye to telemedicine,鈥 one researcher said.
Patients鈥 experiences encapsulate breakdowns in a healthcare system that traps patients in debt. The industry鈥檚 key players blame one another.
Republicans promise that $50 billion in new health funding will help rural America. But it鈥檚 not expected to aid the years-long effort in North Carolina鈥檚 Martin County to reopen its only hospital.
Several states have required their health agencies to take on another job: verifying immigration status among Medicaid recipients and reporting them to the U.S. Department of Homeland Security. North Carolina is the latest to pass such a law, and experts expect more to follow.
Some states bar professional midwives from attending home births if they don鈥檛 have a nursing license. Their advocates say laws to allow midwife licensing would make home birth safer and more accessible, plus help address a maternity care shortage.
Using Hurricane Helene as a teachable moment, a group of doctors outlined concrete steps that lawmakers can take to reverse a crisis in getting substance use medications during natural disasters.
A bug bite and an allergic reaction ultimately sent a North Carolina woman to the emergency room, where she had a couple of brief chats with a doctor and a dose of medicine. Now she questions why the charges were so high.
Some people find they owe money back for subsidies if their income changed from what they estimated. In 2026, more people may find themselves in this situation 鈥 and face higher repayment amounts 鈥 if they don鈥檛 carefully track their income.
North Carolina rolled out a $3.1 billion insurance plan for kids in foster care, but many doctors did not accept patients on the plan. The state is one of several experimenting with a model that has left kids鈥 guardians scrambling to find health care providers.
Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration鈥檚 $50 billion federal rural health fund. Federal administrators already approved states鈥 plans, but in many cases, state lawmakers must greenlight spending.
As the number of cases grows to about 1,000 in the Carolinas, health care workers who鈥檝e never seen the vaccine-preventable disease can get caught by surprise.
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