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Texas proposed increases to Medicaid reimbursement rates for certain ambulance services. During a public rate hearing, providers said the higher rates could help maintain access to critical services, especially in rural areas.
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Kansas received the sixth-highest amount among the states at $221 million.
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Texas is set to receive the largest award from the federal Rural Health Transformation Program — with federal officials awarding $1.4 billion to the state over five years. The state received millions more in funding that it asked for in its application.
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Texas' application for the Rural Health Transformation program requests $200 million every year of the five-year program. The state is proposing the "Rural Texas Strong" project, which includes a range of proposals to improve health care access and quality in rural areas — such as workforce development and utilizing AI.
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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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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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Texas health officials are asking for public input for the state's application for a new federal rural health program. People can submit their comments through Tuesday, Sept. 9.
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The Health and Human Services secretary praised recent health legislation out of Texas during a visit with Gov. Greg Abbott.
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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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Oklahoma health care leaders estimate state hospitals will see $6.3 billion in Medicaid reimbursement cuts as funding reductions made to the program through President Donald Trump's "One Big Beautiful Bill" set in.