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Feds award MN $193M for first year of rural health investments

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The legislation of the "Big Beautiful Bill" to cut public services, such as Medicaid, also includes $50 billion in new funding to support rural health care.

ST. PAUL — Minnesota is set to receive the first installment of Rural Health Transformation Program funding from the Centers for Medicaid and Medicare Services.

The funding is part of the legislation passed July 4, 2025, that implemented sweeping changes to the country's public service programs like Medicaid and the Supplemental Nutrition Assistance Program.

The Rural Health Transformation Program includes $50 billion to be awarded to states over the next five years.

All 50 states received first-year base funding, but Minnesota was also awarded "significant additional funds recognizing Minnesota's innovative plan" to address rural health care challenges, according to a news release from the state Department of Health.

Funding will support: new technology tools to bring care closer to home for rural residents with telehealth; initiatives to improve outcomes for Minnesotans with or at risk of developing cardiovascular disease, diabetes and chronic kidney disease; and expanding the rural health care workforce.

For rural hospitals already operating on tiny margins, looming Medicaid cuts will dial up the financial pressures, said Jean MacDonell, president and CEO of Fairview Range hospital in Hibbing.

Money will also go toward enhancing technology-enabled care delivery, including mobile and community-based services; strengthening provider partnerships; and bolstering the financial stability of rural providers through investments in technology and data infrastructure.

“With rural Minnesota facing unprecedented access and funding challenges, this award comes at a crucial time,” stated Minnesota Commissioner of Health Dr. Brooke Cunningham in a news release.

“It is an important investment in our rural communities, and we are excited to begin working with our partners to advance access to high-quality care, improve outcomes and ensure sustainable services in Greater Minnesota for years to come.”  

The MDH's proposal for funding, submitted Nov. 4, asked for $1 billion over the next five years. The proposal was crafted after extensive collaboration with rural community stakeholders, such as hospitals and health systems, safety net clinics, tribes and local public health agencies.

State officials will continue to engage stakeholders as implementation of the program begins.

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