KFF Health News December 2, 2025
Sarah Jane Tribble, Arielle Zionts

KFF Health News filed records requests for states’ complete applications. Some have refused to release any of their materials.

Medication-delivering drones and telehealth at local libraries are among the ideas state leaders revealed in November for spending their share of a $50 billion federal rural health program.

The Trump administration, which has promised “radical transparency,” said in an FAQ that it plans to publish the “project summary” for states that win awards. Following the lead of federal regulators, many states are withholding their complete applications, and some have refused to release any details.

“Let’s be clear,” said Alan Morgan, chief executive of the National Rural Health Association. “The hospital CEOs, the clinic administrators, the community leaders: They’re going to want...

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