Residents in rural communities face persistent and complex health challenges, including access to care, transportation barriers, workforce shortages, aging infrastructure, and outdated technology. Nearly 80% of rural communities are considered medically underserved, and ongoing rural hospital closures continue to threaten access to essential health services. In response, ASTHO members are leading innovative, cross-sector strategies to strengthen rural health systems, preserve access to care, and improve population health outcomes.
ASTHO and CDC have partnered to provide rural public health leaders with essential tools and information needed to advance health in rural communities. Featuring interactive training modules, a mapping tool, recordings, and more, these resources highlight key considerations for leading public health in rural areas.
Featured

Recording Available: ASTHO Members Discuss Rural Health Improvement Strategies During Deskside Media Briefing
In November 2025 ASTHO convened members from Iowa, Maine, and Mississippi to discuss rural health.

Understanding and Applying for the Rural Health Transformation Program
Find funding criteria and distribution details for the Rural Health Transformation Grant, and explore collaboration and tactical considerations for your application.

Federal, State, and Stakeholder Perspectives on the Rural Health Transformation Fund
Explore perspectives on the Rural Health Transformation Fund, shared at a discussion hosted by ASTHO and Cornerstore Government Affairs teams.

Bridging the Rural Health Gap: Building Capacity, Workforce, and Connection
Public Health Review Morning Edition episode 1118 discusses the Rural Health Academy, a growing initiative designed to strengthen the capacity of state and local health leaders as they work to close public health gaps for rural communities.

From Rural Dollars to Dinner Plates: Turning Big Federal Policy Into Real Health Gains
Public Health Review Morning Edition episode 1072 looks at two sweeping developments and the on-the-ground work required to make them matter.
Latest Rural Health Resources
Advancing Rural Health
Hill Day Advocacy at ASTHO’s 2026 Spring Leadership Forum
Policy Trends Shaping Access to Care in 2026
How New Laws Support Telehealth and Access to Health Care
Recording Available: ASTHO Members Discuss Rural Health Improvement Strategies During Deskside Media Briefing
Leveraging Public Health Assets in Medicaid Managed Care
Data-Sharing Strategies to Support Access to Care Interventions
Federal, State, and Stakeholder Perspectives on the Rural Health Transformation Fund
Partnership and Collaboration Resources
Check out these additional resources from our partners supporting rural health.
- Rural Public Health Training Plan by CDC
- Rural Science Tip Sheets by CDC
- Rural Health Information Hub supported by HRSA
- Rural Health Mapping Tool by NORC
- Rural Health Transformation Program: State Focus on Maternal and Child Health by NASHP