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CMS has published its interim final rule. Most analyses explain what it says. This one focuses on what you need to do about it.

A mid-2026 update on federal grantmaking: what has stabilized since the funding freezes, the new operational risks to watch, and concrete steps your organization should take now.

On Dec. 31, 2025, the enhanced Affordable Care Act (ACA) premium tax credits expired without congressional renewal — and the consequences are already showing up in revenue mix reports, emergency department volumes, and the growing lines at community health centers and human services organizations. Since the introduction of the tax credits in 2021, enrollment in…

The Rural Health Transformation Program (RHTP) represents a $50 billion, five-year federal investment in rural health, the largest in a generation. Washington State, North Carolina, and Connecticut have received year-one funds for their approved plans. For rural providers nationwide, the window to act strategically is now. Five priorities require immediate attention: implementation, technical support, political…

The federal Rural Health Transformation Program (RHTP) is funded and moving fast. It was authorized under H.R 1*, or “The One Bill Beautiful Bill.” The program commits $50 billion over five years to strengthen rural health care in all 50 states. In December 2025, the Centers for Medicare & Medicaid Services (CMS) awarded first-year funds…

For sixty years, Medicaid had one job: provide health insurance to people with low incomes. That changed on July 4, 2025, when the One Big Beautiful Bill Act (H.R. 1) became law and introduced the first federally mandated work requirements in the program’s history. Atrómitos has tracked this policy for five years. Evidence consistently shows…