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Appropriations committee leans toward larger initial perpetuity deposit for Rural Health Transformation
Summary
Committee discussion about the federal Rural Health Transformation award favored creating a perpetuity fund and diverting a larger initial share than the Department of Health proposed (committee straw-polled around 80% vs DOH's 69.5%) to preserve long-term program continuity; members proposed state-level guardrails (performance metrics, clawbacks, legislative approvals for major changes).
Lawmakers debated how to structure incoming federal Rural Health Transformation (RHT) funds and whether to deposit a large initial share into a perpetuity fund to preserve the program beyond the federal award term.
Staff presented the Department of Health’s initial allocation table (DOH proposed 69.5% of RHT receipts to a perpetuity fund). Committee members…
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