Hill November 8, 2025
States are racing to win their slice of a new $50 billion rural health fund amid worries the program’s lack of guardrails and rushed timeline could mean the providers who need the most help will get squeezed out by larger, politically connected health systems.
The One Big Beautiful Bill Act created the fund as a backstop for states that are set to lose nearly $1 trillion in Medicaid funding over the next decade.
“I think everyone would agree that the money is not nearly enough to fill the hole caused by the cuts in H.R. 1. But of course, states are still excited to apply for federal funding when there’s any available, at the time when resources are...
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