Fact Sheets

State Flex Program Reauthorization
In the 117th Congress, H.R. 6400, the Save Rural Hospitals Act, was introduced by Rep Sam Graves (R-MO) and Jared Huffman (D-CA). Title IV of this bill reauthorized and modernized the Medicare Rural Hospital Flexibility (Flex) program. We ask that Congress introduce and pass this Flex modernization language in the 118th Congress.

State Offices of Rural Health Appropriations Request
In December 2022, Congress reauthorized the SORH program and the President signed the bill into law as Public Law No: 117-356. This law authorizes the SORH program through fiscal year 2027, however, additional funding is needed for the state offices. Through the annual appropriations process, we ask Congress to increase the funding for SORH’s to $18 million in Fiscal Year 2024.

SORH Information Dissemination Guide
As a State Office of Rural Health (SORH), crafting a clear and precise message is essential when sharing information with your stakeholders. This guide will walk SORH through the steps needed to develop an information dissemination goal, determine your target audience, delegate staff, and measure your success.


Adverse and Positive Childhood Experiences: A Primer for SORH
An individual’s positive and negative experiences in childhood and educational attainment are known as key components to healthy outcomes in adulthood. As health care partners continue to understand the impact of the social determinants of health—the 80-90% of factors that impact health outcomes—the role of an individual’s childhood experiences is important to recognize. This fact sheet summarizes adverse and positive childhood experiences and offers steps that State Offices of Rural Health can take to communicate, educate, collaborate and innovate with their rural communities.