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Episode 1530Feb 19, 2026

Congress set aside $50 billion to transform rural health care. Will it work?

We’ll explain the ins and outs of the Rural Health Transformation Program.

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A surgeon walks past in the surgical unit at Valley Health Hampshire Memorial Hospital on June 17, 2025 in Romney, W.V.
A surgeon walks past in the surgical unit at Valley Health Hampshire Memorial Hospital on June 17, 2025 in Romney, W.V.
Ricky Carioti/The Washington Post via Getty Images

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A $50 billion pot of money for rural health care made it into last year’s One Big Beautiful Bill Act, President Trump’s hallmark tax and spending law. But the funding comes in tandem with massive cuts to Medicaid spending — an existential risk to many rural hospitals. On today’s show, Kimberly speaks with KFF Health News correspondent Arielle Zionts about the potential benefits of the Rural Health Transformation Program and its potential shortfalls. Plus, Congress never came to an agreement on the Obamacare subsidies at the heart of last year’s government shutdown. What does that mean for rural communities?

Here’s everything we talked about today:

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The Team

Congress set aside $50 billion to transform rural health care. Will it work?