NSDA urges you to contact your Governor and applicable State Agencies to ask for their support to protect rural communities and hospital districts as states responds to Medicaid changes in H.R. 1 and implements forthcoming resources from the new Rural Health Transformation Fund (RHTF). We are asking states to ensure rural hospital districts are treated equitably in the state’s transformation plan and that they receive a meaningful share of any new federal resources intended to stabilize rural care.

Deadlines and processes are not defined at this time, so we urge you to contact your applicable agencies to find out more state by state details.

Use this template letter here to reach out to your State offices.

NSDA Letter of Concern_Rural Health Transformation Fund 12.12.25..docx