S2.E18. The One Big Beautiful Healthcare Series, Part 3: Rural Health Transformation Program
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The One Big Beautiful Bill Act cuts an estimated $137 billion in federal Medicaid funding from rural America over ten years. Congress answered with a $50 billion Rural Health Transformation Program. Does it close the gap?
In Part 3 of our OBBBA series, Jamie Bourgeois (MSN, APRN, PMHNP-BC, CNM) and Melissa Anne DuBois (PhD, RN) break down how the program works, why an "equal" split leaves a Texas resident with about $66 and a Rhode Island resident with over $6,000, and why the rules limit what struggling hospitals can spend on.
We look at who gets hit hardest: pregnant people facing longer drives as birthing units close, and people with mental illness and substance use disorders facing new work requirements and a narrower exemption. We cover what supporters and critics say, where nursing organizations stand, and our nursing take on why a one-time grant can't replace coverage.
Full show notes and sources: nursingthenation.substack.com
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