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Amidst the focus on the looming budget shortfall, there is some good news to share. Nebraska recently received notification that we have been awarded $218.5 million through the federal Rural Health Transformation Program, the eighth largest state allocation nationwide! This five-year national initiative aims to modernize rural health care delivery across America. Governor Jim Pillen has called it a once in a generation opportunity to Make Rural Nebraska Healthy Again, with implementation beginning in 2026 through the Nebraska Department of Health and Human Services. The program addresses challenges including provider shortages, geographic distances, food insecurity, and an aging population in a state where nearly 95 percent of counties are classified as rural or frontier.