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November 2025 Missouri Applies for Federal Rural Health Transformation Program The State of Missouri has formally applied to participate in the federal Rural Health Transformation Program (RHTP), an initiative aimed at transforming health care in rural communities. Missouri’s application focused heavily on expanding access to care in rural communities by way of telehealth and scope of practice expansion for professions such as APRNS, Pharmacists, and Physician Assistants. As a part of this application process, MSMA has earlier submitted a proposal to MO Healthnet dedicated to recruiting and retaining physicians via loan repayment for Missouri resident physicians. Missouri’s application to CMS included a broader proposal for healthcare professional loan repayment but it is unclear at this time how much of the funds will be provided for physicians Under the proposal for the RHTP, Missouri expects to receive its federal funding by January 2026. The amount of money the State is expected to receive could be in excess of one billion dollars paid out over the next 5 years. While the intent of the program which is to improve rural health care delivery; is commendable, the application includes language proposing an expansion of scope of practice for certain mid-level providers. Such provisions could significantly alter the structure of rural care delivery without evidence that they improve health outcomes or quality of care. As we move into the next legislative session, MSMA will need to be proactive in engaging policymakers and reminding them that access alone does not equate to improved quality. True health improvement requires a coordinated, physician-led team approach that ensures patients receive the right care from the right professional. We will continue to monitor developments closely and keep you informed as the state’s plan progresses. |
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