Virginia has applied for $1 billion in federal funding to improve health care in its rural areas. Governor Glenn Youngkin announced the submission of the state’s application under H.R. 1, which was enacted earlier this year.
The proposal, called VA Rural Vitality, aims to modernize health care delivery and strengthen the workforce across rural communities in Virginia. The plan was developed through Executive Directive Twelve and led by Secretary of Health and Human Resources Janet V. Kelly. Input from local communities and providers shaped the strategy.
“Our VA Rural Vitality plan takes bold action to ensure every Virginian – no matter their zip code – can access high-quality care close to home,” said Governor Glenn Youngkin. “This $1 billion investment will strengthen our workforce, expand innovative care models, and deliver the tools communities need to live healthier, more productive lives. I want to thank President Trump and his administration for their collaboration and commitment to transforming rural health care and building a stronger, healthier Virginia for generations to come.”
The initiative is structured around four main efforts: encouraging healthier lifestyles through incentive-based programs; developing a local pipeline of health professionals; expanding hybrid and mobile care models while connecting providers with larger systems; and investing in advanced technologies such as AI-powered tools.
Once awarded, funds will be managed by the Department of Medical Assistance Services (DMAS) along with the Virginia Department of Health (VDH) and other state offices. Partnerships with hospitals, federally qualified health centers, food banks, and technology firms are also planned.
“This plan reflects the voices of rural Virginians,” said Secretary Janet V. Kelly. “From Chincoteague to the Cumberland Gap, we listened to Virginians who want their health care to improve — and VA Rural Vitality directly responds to their needs with innovative, community-based solutions.”
“We are proud to submit a plan that not only addresses today’s needs but builds a foundation for lasting rural health improvements for generations,” said Cheryl Roberts, DMAS Director. “We look forward to the work ahead with partners across the Commonwealth to deliver this transformational change.”
“Every region of rural Virginia has a role in this work,” added Dr. Karen Shelton, VDH State Health Commissioner. “By connecting care, strengthening the workforce, and supporting healthier lifestyles, we can increase local access to quality care and transform outcomes across the Commonwealth.”
According to data provided by state officials:
– Over half of rural localities in Virginia are designated as Primary Care Health Professional Shortage Areas.
– Nearly two-thirds of counties do not have an OB-GYN available locally.
– More than one-fifth of rural residents must travel over 40 minutes for labor or delivery services.
– Rates of chronic illnesses such as diabetes and hypertension exceed national averages among these populations.
– Substance use disorder affects about 17% of adults living in rural areas.
Governor Youngkin’s administration reports progress on behavioral health issues—fentanyl-related deaths have dropped by 59%, while maternal deaths have been reduced by nearly half.
The Centers for Medicare & Medicaid Services are expected to announce grant recipients by December 31, 2025. Additional details on Virginia’s application can be found at https://www.hhr.virginia.gov/initiatives/rural-health/.
