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Washington files Rural Health Transformation application to CMS, prioritizes rural hospitals, workforce and behavioral health

Joint Select Committee on Healthcare and Behavioral Health Oversight · November 5, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The state submitted a Rural Health Transformation application to CMS on Nov. 5 as part of the federal program created by HR 1. HCA outlined six initiatives centered on hospital stabilization and payment reform, prevention and community care, tribal investments, technology and data, workforce development, and rural behavioral‑health capacity.

Evan Klein, special assistant for legislative and policy affairs at the Health Care Authority, told the committee that Washington submitted its application to CMS on the day of the committee meeting and that the application is publicly posted.

Klein described the federal program created by HR 1 as a $50 billion Rural Health Transformation fund. States were asked to apply; each approved state receives a base allocation (Klein said the formula guarantees at least $100 million if all states apply) and additional funds are distributed based on…

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