Appropriations committee leans toward larger initial perpetuity deposit for Rural Health Transformation

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).