LFC finds Rural Healthcare Delivery Fund lacks standardized metrics despite $196M in appropriations

Jan 19, 2026

LFC evaluators told the committee the Rural Healthcare Delivery Fund has appropriated $196 million since 2023, supported about 270,000 reported patient encounters and disbursed roughly $69.4 million, but that inconsistent provider reporting and absent performance measures limit the Legislature’s ability to assess whether the program improved access.

The full story

LFC program evaluators presented an analysis of the Rural Healthcare Delivery Fund (RHCDF) on Jan. 19, reporting that the Legislature has appropriated $196 million to the program since it was created in 2023. Evaluators said about $146 million has been obligated across three funding cycles and roughly $69.4 million had been disbursed as of fall 2025, with most funds used for behavioral health, primary care and maternal health staffing costs.

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