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Congressional Democrats demand more clarity and oversight from $50B rural health fund

FILE - Democratic New Mexico Rep. Teresa Leger Fernandez applauds as President Joe Biden speaks about the economy at Arcosa Wind Towers factory Wednesday, Aug. 9, 2023, in Belen, N.M. Two years after the U.S. Forest Service sparked what would become the largest and most destructive wildfire in New Mexico’s recorded history, independent investigators say there are gaps that need to be addressed if the agency is to be successful at using prescribed fire as a tool to reduce risk amid climate change.
Ross D. Franklin
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AP
FILE - Democratic New Mexico Rep. Teresa Leger Fernandez in Belen in August 2023. Leger Fernandez led a group of 27 democratic congress members in sending a letter to Health and HUman Services Secretary Robert F Kennedy Jr., demanding more oversight of, and guidance on the $50 billion federal Rural Health Transformation Fund.

New Mexico’s congressional delegation is calling for more oversight of funds meant to soften the impact of federal health care cuts in rural areas. Rep. Teresa Leger Fernandez (D-NM) sent a letter signed by 27 Democratic members of Congress, including New Mexico's other representatives, Democrats Gabe Vasquez and Melanie Stansbury, to Health and Human Services Secretary Robert F. Kennedy Jr.

The letter states the fund doesn’t do enough to cover the $1 trillion in cuts to Medicaid, and gives Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz "sweeping authority to approve or deny state applications, and distribute funds with little to no public or congressional oversight.”

The $50 billion Rural Health Transformation Program was created as a part of the federal budget reconciliation bill, more widely known as President Trump’s massive tax and spending bill. The Senate added the program to the bill after members of both parties voiced concerns the bill’s funding cuts would irreparably damage rural hospitals.

In the Kennedy letter, the signees urge CMS to establish a deadline for states’ applications, outline transparent criteria and metrics for proposal evaluation and approval, and prioritize funding for rural communities most impacted by the larger health care funding cuts.

Troy Clark, president of the New Mexico Hospital Association, told KUNM that there needs to be more clear guidance on where exactly these funds would go and who would qualify for them.

Clark said comments made by Oz and Kennedy have muddled things further. For example, Kennedy said the funds could be granted to urban hospitals, but Clark said the statute itself doesn’t include guidelines on whether that hospital has to serve rural areas, or any details on how those funds would be approved.

Clark says he “greatly appreciates” Leger Fernandez’s request for clarification, and eagerly awaits guidance from CMS.

The letter seeks a formal response from Kennedy.

Support for this coverage comes from the W.K. Kellogg Foundation.

Daniel Montaño is a reporter with KUNM's Public Health, Poverty and Equity project. He is also an occasional host of Morning Edition, All Things Considered, and Let's Talk New Mexico since 2021, is a born and bred Burqueño who first started with KUNM about two decades ago, as a production assistant while he was in high school. During the intervening years, he studied journalism at UNM, lived abroad, fell in and out of love, conquered here and there, failed here and there, and developed a taste for advocating for human rights.