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DHHS outlines HR1 rural health grant timeline; states must apply quickly and cannot supplant existing funding

North Dakota Legislative Budget Section · September 24, 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 Department of Health and Human Services briefed the Budget Section on HR1, the federal Rural Health Transformation program that allocates baseline and competitive workload funding to states. North Dakota is preparing a single application due Nov. 5; DHHS emphasized workforce, right‑sizing rural delivery and chronic disease as priorities and

Sarah Acre, executive director of medical services at the North Dakota Department of Health and Human Services, briefed the Budget Section on HR1 (the Rural Health Transformation program) and the compressed federal timeline for the state application.

Acre said HR1 provides $50 billion to states over five years, split evenly between baseline funding (equal allocations to approved states) and workload (competitive) funding that CMS will score based on demographic factors and the policy merits of a state’s application. States submit a single application covering five years (HHS said…

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