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Applications for ‘big beautiful’ rural health fund open for states

States can apply for $50 billion over five years to innovate rural healthcare and address financial losses affecting 48% of rural hospitals, officials announced.

  • Applications for the $50 billion Rural Health Transformation Fund opened on September 15, with states required to submit their proposals by November 5, 2025.
  • The fund was created as a last-minute addition to address Medicaid cuts in the reconciliation bill signed in July 2025, responding to concerns about rural hospital closures and reduced federal spending.
  • The program aims to improve long-term rural health care access by distributing $10 billion annually from 2026 to 2030 to reimagine care and tackle workforce and technology shortages.
  • Health Secretary Robert F. Kennedy Jr. highlighted that this initiative represents the most significant funding commitment to date aimed at enhancing health services in rural areas, while CMS Administrator Mehmet Oz stressed the importance of leveraging the current crisis as a chance to drive progress.
  • While officials dispute risk to rural hospitals, critics warn Medicaid cuts threaten essential services, suggesting states must act quickly to secure funds to stabilize rural health systems starting early 2026.
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The Manchester Mirror broke the news in Manchester, United States on Monday, September 15, 2025.
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