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Gov. Reynolds Announces Proposal to Transform Rural Healthcare in Iowa

The Healthy Hometowns initiative targets insurance gaps and provider shortages in rural Iowa, aiming to reduce emergency visits and expand telehealth over five years, officials said.

  • Governor Kim Reynolds submitted Iowa's application to the Rural Health Transformation Program to improve rural health care statewide and build a sustainable system of care.
  • Rural counties in Iowa with below-average insurance coverage face concentrated gaps, as Iowa's rural communities struggle with access, according to the release.
  • The Healthy Hometowns proposal would invest in telehealth services, medical equipment, care for uninsured Iowans, recruitment of health professionals, cancer screening and treatment, EMS and mobile health services, plus improved health record access.
  • Iowa expects five-year improvements including fewer preventable emergency department visits, more local care access and higher provider-to-population ratios, and if fully awarded, could receive $200 million per project year, totaling $1 billion over five years with notices of state awards expected on December 31.
  • The federal program is managed by the Centers for Medicare and Medicaid Services as Healthy Hometowns, developed with rural hospitals, health systems and community partners using a hub-and-spoke model; the application and additional information are available online.
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The Daily Iowan broke the news in on Wednesday, November 5, 2025.
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