500亿美元农村医疗转型计划首年拨款公布，50个州全数获资助
美国联邦医疗保险和医疗补助服务中心（CMS）12月29日在华盛顿宣布，50个州将全部获得农村医疗转型计划拨款。该计划由特朗普总统签署的《工薪家庭减税法》（第119-21号公共法）设立，总额500亿美元，旨在加强农村社区医疗、让医疗服务现代化。2026年首年拨款中，各州平均约获2亿美元，金额在1.47亿至2.81亿美元之间。
卫生与公众服务部部长 Robert F. Kennedy, Jr. 说，美国有6,000多万农村居民，他们有权平等获得优质医疗，这项历史性投资让地方医院、诊所与医护人员掌握本社区医疗的主导权。CMS 主任 Mehmet Oz 说，各州正提出大胆而有创意的计划，扩大农村就医可及性，充实医护队伍，更新医疗设施与技术。
计划资金将在2026至2030五个财年向获批州拨付，每年100亿美元：一半在各州之间平均分配，另一半按各州农村程度与农村医疗体系指标、州政策行动，以及申请项目的潜在影响与规模等因素分配。首年拨款中，得克萨斯州获2.81亿美元为各州最高，阿拉斯加州2.72亿美元居次，加利福尼亚州获2.34亿美元。各州将用这笔资金扩大预防、初级、孕产与行为健康服务，加强农村急救，培训与招募农村临床人才，更新设施设备并扩大远程医疗。
First-Year Awards Announced in $50 Billion Rural Health Transformation Program, With All 50 States Funded
The Centers for Medicare & Medicaid Services (CMS) announced in Washington on December 29 that all 50 states will receive awards under the Rural Health Transformation Program, a $50 billion initiative established under the Working Families Tax Cuts legislation (Public Law 119-21) signed by President Trump to strengthen and modernize health care in rural communities. In 2026, first-year awards will average about $200 million per state, ranging from $147 million to $281 million.
Health and Human Services Secretary Robert F. Kennedy, Jr. said more than 60 million Americans living in rural areas have the right to equal access to quality care, and that the historic investment puts local hospitals, clinics and health workers in control of their communities' health care. CMS Administrator Dr. Mehmet Oz said states are stepping forward with bold, creative plans to expand rural access, strengthen their workforces and modernize care.
The program's $50 billion will be allocated to approved states over five years, with $10 billion available each year from 2026 through 2030. Half of the funding is distributed equally among all approved states, and half is allocated based on factors including rurality and rural health system metrics, state policy actions, and the potential impact and scale of proposed initiatives. Texas received the largest first-year award at $281 million, followed by Alaska at $272 million; California will receive $234 million. States will use the funds to expand preventive, primary, maternal and behavioral health services, strengthen rural emergency care, train and recruit rural clinicians, modernize facilities and equipment, and expand telehealth.
来源：美国卫生与公众服务部
发布：GSM·美国（发布链接）
图片来源：图：位于美国华盛顿的美国卫生与公众服务部休伯特·汉弗莱大楼（资料照片）。ajay_suresh 摄，CC BY 2.0，经 Wikimedia Commons；联邦固定图库标准图。 / Photo: The Hubert H. Humphrey Building, headquarters of the U.S. Department of Health and Human Services in Washington (file photo). Photo by ajay_suresh, CC BY 2.0, via Wikimedia Commons
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