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Board members are seeking clarity on the executive order that encouraged the proposed rule.
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Alongside the passage of billions of dollars in Medicaid spending reductions over a decade, Oklahoma is also vying for an opportunity available to all 50 states to fund sustainable rural health care initiatives.
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The letter demands answers from the agency on "failures within the managed Medicaid care system."
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Miller most recently served as the chief of policy and provider regulation at the Oklahoma Department of Mental Health and Substance Abuse Services.
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The conversation highlighted how the changes will impact Oklahoma's health care landscape, including hospital finances and patient access.
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As Texas develops its application for federal Rural Health Transformation Program funding, rural hospital leaders say stabilizing their facilities should be a top priority. "Without it, all the planning in the world will not matter because there will be no hospital left to transform," one said.
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This comes amid new leadership at the Oklahoma Health Care Authority (OHCA), with Director Clay Bullard taking the place of former agency CEO Ellen Buettner, who departed to assume the role of CEO at the Regional University System of Oklahoma.
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The $50 billion rural health fund established in President Donald Trump's megabill seeks to help stabilize and strengthen rural hospitals and providers.
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Nonprofits across the country have been grappling with changes in federal spending and the cuts to departments and grants. As coordinator with other local organizations, Lubbock Area United Way has been updating partners on developments at the state and national level, and advocating for policies suited to West Texas.
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A reproductive health advocate called it a "direct attack" on Planned Parenthood and its ability to participate in Oklahoma Medicaid.