Arielle Zionts
ajzionts.bsky.social
Arielle Zionts
@ajzionts.bsky.social
✏️: Rural Health Reporter @KFFHealthNews.org
📍: Rapid City
✉️: [email protected]
🚨 Signal: Zionts_RuralHealthNews.22
😍: Story ideas, outdoors, animals, reading, history, art, gravel+mtn biking
❗️: RT means worth reading/knowing, not agreement
The least transparent state is Florida. It hasn't released any docs and hasn't responded to our public records request. And it has no website for the public to learn about its Rural Health Transformation Program.
December 2, 2025 at 6:16 PM
Why should these applications be public records? Because people should be able to see what their state proposed and be able to compare it with what the Trump administration ends up saying is worthy vs. unworthy of taxpayer funding.
December 2, 2025 at 6:05 PM
We filed public records requests in all states. Many are pending. But so far 6 are arguing that some or all of their docs aren't public records.

Nebraska said its app is "proprietary or commercial information” that “would give advantage to business competitors.” Others called the app a "draft"
December 2, 2025 at 6:02 PM
So far:
➡️38 states released the Project Narrative, the main part of the application.
➡️More than a dozen also shared their Budget Narrative.
➡️8 states released full apps.
➡️7 have shared nothing.
December 2, 2025 at 6:02 PM
RFK Jr. said HHS aims to be the “most transparent” in its history but won’t share states’ applications to the $50 billion Rural Health Transformation Program. Many states are withholding their complete applications, and some have refused to release any details.
December 2, 2025 at 6:02 PM
Reposted by Arielle Zionts
A 60 year old in Charleston, WV making $65,000 would see their annual out-of-pocket premium increase from $5,525 to $27,864 if the enhanced ACA tax credits expire.

The same 60 year old living in Charlottesville, VA would see their out-of-pocket premium go from $5,525 to $12,616.
December 1, 2025 at 4:08 PM
Reposted by Arielle Zionts
An individual ACA enrollee making $25,000 would see their annual out-of-pocket premium increase about 12 fold, from $98 to $1,165, if the enhanced ACA premium tax credits are allowed to expire at the end of the year.
December 1, 2025 at 4:07 PM