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HHS outlines rural health transformation plan; CMS approvals and sustainability top priorities

North Dakota Legislative Budget Section · December 10, 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

HHS described its application for rural health transformation funds, the planned subaward process and CMS deadlines: states must obligate funds by Sept. 30, 2026 and CMS will review subawards; HHS will prioritize sustainability and rural/tribal impact and expects to release first subaward opportunities in January.

Krista Framing of the Health and Human Services medical services division briefed the Budget Section on the state’s rural health transformation application to the Centers for Medicare and Medicaid Services and the planned grant administration approach.

Framing said the state submitted its application on Nov. 3 and is awaiting a CMS notice of award (expected by Dec. 31). She described draft funding allocations (largest buckets for 'care closer to home') and said the state anticipates multiple…

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