National Rural Health Association

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Appropriations Tracker

In an effort to ensure full funding of essential federal rural health programs, NRHA is constantly monitoring the federal appropriations process. Here you will find the latest news, updates and supporting materials on the funding of federal rural health programs.

Please note, the federal fiscal year (FY) begins Oct. 1 and ends Sept. 30. FY 2013 is from Oct. 1, 2012, to Sept. 30, 2013.

National Rural Health Association Fiscal Year 2013 Appropriations Chart

Descriptions of Rural Safety Net Programs

 Fiscal Year 2013 Resources

 Fiscal Year 2012 Resources 

Fiscal Year 2013 News


Rep. Paul Ryan, Chairman of the House Budget Committee, released his version of the House's fiscal year 2013 budget. The FY 2013 budget proposes significant overhauls of the current Medicare, Medicaid and CHIP programs.

Under Chairman Ryan's Budget, current Medicare beneficiaries will be able to maintain their current service structure while future seniors will be given a choice of staying under a traditional Medicare fee-for-service (FFS) plan or joining a Medicare-approved private plan and receiving premium support. The Budget would convert both the Medicaid and CHIP programs to full block grants, eliminating the current structure of State-Federal matching funds for beneficiary services. These proposals will cut billions in Medicare and Medicaid spending.

House Democrats are expected to release and alternative budget before the end of the week. Both proposals will likely be considered by the House Budget Committee on Wednesday, March 21. It is expected that the House will vote on Chairman Ryan's plan on Wednesday, March 28 or Thursday, March 29, before lawmakers leave for spring recess.



Senators Kent Conrad and Chuck Grassley are sending a letter to appropriators in support of rural health care program funding in the Labor HHS Appropriations bill. The National Rural Health Association strongly urges individuals to call their Senators and urge them to sign on to this critical letter. A copy of the letter can be viewed here.

There are a number of small but vital discretionary programs that help form the rural health safety net. Especially in hard economic times, these programs play an important role in making sure 62 million rural Americans have access to critical primary, emergency and hospital services.

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