Trump Rural Health Grants Come With Clawback Threat to States

The Trump administration is announcing awards to states from a rural health care fund, with the threat that some of that money can be clawed back if jurisdictions fail to embrace policy initiatives backed by the president.

The discretionary grants for 2026 range from $145 million to $281 million for states, according to Mehmet Oz, the head of the Centers for Medicare and Medicaid Services. Oz said Monday the award decisions were made by “subject-matter experts” from both within and outside the federal government following a review of applications from states.

Oz said that while half of the $50 ...