特朗普政府宣布乡村医疗转型第二年100亿美元拨款：50个州全覆盖，加州获2.31亿美元
美国卫生与公众服务部（HHS）经联邦医保中心（CMS）于11月9日宣布，乡村医疗转型计划（RHTP）第二年拨款100亿美元，覆盖全部50个州，加利福尼亚州获231,105,823美元。这是特朗普总统500亿美元乡村医疗投资进入第二年的安排，各州将按各自已获批准的转型计划继续推进。
卫生与公众服务部长 Robert F. Kennedy, Jr. 说，特朗普总统对乡村美国作出了历史性投资，卫生与公众服务部正把这些资源用到每一个州；这笔新的100亿美元将扩大就医可及性、加强乡村医疗人力、改善预防，并帮助各州按本地社区的需要建设方案。
联邦医保中心主任 Mehmet Oz 说，乡村居民的预期寿命比城市居民短三年，该计划正为缩小这一差距提供历史性投入；各州已经把资源用起来，让乡村社区在家门口获得更好的医疗，医保中心将继续帮助各州在来年推进。
第二年，各州将在第一年的基础上推进各自计划，方向因州而异，包括改善预防与慢性病管理、建立可持续的就医通道、加强乡村医疗人力、推进创新护理与支付模式，以及把现代技术与数据用到乡村患者与医疗机构。
医保中心表示，今年的金额部分反映各州落实已批计划的进展：50个州都提交了年度进展报告，医保中心据此评审定额，考量因素包括各州改善乡村医疗的政策落实，例如总统体能测试与医生营养学继续教育。医保中心乡村医疗转型办公室直接对接各州，提供技术协助并监测进展。
各州金额方面，阿拉斯加州获272,653,149美元，俄克拉荷马州获227,097,543美元，堪萨斯州获225,896,117美元，佐治亚州获221,731,766美元，内布拉斯加州获219,247,775美元，北卡罗来纳州获216,824,573美元，爱荷华州获216,007,657美元；加利福尼亚州的231,105,823美元将按加州已获批准的计划使用。
该计划由《工薪家庭减税法》设立，五年总投入500亿美元。随着本轮宣布，特朗普政府已通过该计划累计拨付200亿美元，余下三年还将拨付300亿美元。
关联：联邦医保中心宣布逾2.33亿美元乡村医疗转型资金投向加州：覆盖初级、孕产、专科与行为健康
（来源：美国卫生与公众服务部）
Trump Administration Announces $10 Billion in Second-Year Rural Health Awards to All 50 States, With $231 Million for California
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced on November 9 $10 billion in awards to all 50 states for the second year of the Rural Health Transformation Program (RHTP), including $231,105,823 for California. The awards mark the next phase of President Trump's $50 billion investment to transform rural health care, building on a first year of implementation in every state.
"President Trump made a historic investment in rural America, and HHS is putting those resources to work in every state," said HHS Secretary Robert F. Kennedy, Jr. "This next $10 billion will expand access to care, strengthen the rural health workforce, improve prevention, and help states build solutions that fit the needs of their own communities."
CMS Administrator Dr. Mehmet Oz said rural Americans have life expectancies three years shorter than their urban peers, and that the program is funding the investments needed to close that gap. States have already put the resources to work bringing better care closer to home, he said, and CMS will help them build on that progress in the coming year.
In the second year, states will advance initiatives from their approved transformation plans. Depending on each state's priorities, these may include improving prevention and chronic disease management, creating sustainable access to care, strengthening the rural health workforce, advancing innovative care and payment models, and putting modern technology and data to work for rural patients and providers.
CMS said this year's awards reflect, in part, states' progress implementing their approved plans. All 50 states submitted annual reports, which CMS reviewed in determining each state's award, weighing factors such as implementation of state policies to improve rural health, including the Presidential Fitness Test and continuing medical education for physicians on nutrition. CMS's Office of Rural Health Transformation works directly with each state, providing technical assistance and monitoring progress.
Among the state awards, Alaska will receive $272,653,149, Oklahoma $227,097,543, Kansas $225,896,117, Georgia $221,731,766, Nebraska $219,247,775, North Carolina $216,824,573 and Iowa $216,007,657. California's $231,105,823 will be used under the state's approved plan.
The program was created through the Working Families Tax Cuts Act as a $50 billion, five-year investment. With the new awards, the Trump administration has now awarded $20 billion through the program, and an additional $30 billion will be awarded over the remaining three years.
Related: CMS Announces More Than $233 Million in Rural Health Transformation Funding for California
(Source: U.S. Department of Health and Human Services)
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：美国卫生与公众服务部休伯特·汉弗莱大楼（华盛顿）。ajay_suresh 摄，CC BY 2.0，经 Wikimedia Commons。 / Photo: The Hubert H. Humphrey Building, headquarters of the U.S. Department of Health and Human Services, in Washington. By ajay_suresh, CC BY 2.0, via Wikimedia Commons.
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