Update on One Big Beautiful Bill Act

The South Carolina Office of Rural Health (SCORH) is deeply concerned about the nearly one trillion dollars in cuts to Medicaid included in the passage of the One Big Beautiful Bill Act and the potential consequences for rural health care providers. Medicaid is a critical lifeline for rural communities, supporting access to essential health services and sustaining the financial viability of rural hospitals, clinics, and providers. While the funding through the Rural Health Transformation Program will provide some relief, it will not offset the overall cuts to the program.

If a rural community is fortunate enough to have a hospital, it is often the largest employer in the county. If it closes, the ripple effects impact employment, emergency responses, and community health. Cuts to Medicaid don’t just hurt healthcare, they hurt the economic viability of entire rural towns.

SCORH will continue to work with policymakers to carefully consider the impact these changes will have on rural communities and to protect and strengthen Medicaid as a vital tool for improving health outcomes in South Carolina and across the nation.

SCORH remains committed to offer training, education and technical assistance to rural providers and empower rural communities to address their unique challenges on the local level. With 32 percent of our state’s residents living in rural areas, we need to continue to close the gap in health status between rural and urban communities.

SC's 28th Annual Rural Health Conference

Join us in Hilton Head, SC on November 4-6, 2025.

OUR COMMITMENT TO SOUTH CAROLINA'S RURAL COMMUNITIES:

Encourage investment. Promote opportunities. Improve health.

Who we are

The South Carolina Office of Rural Health is a non-profit organization with a mission to close the gap in health status between rural and urban communities. SCORH has been promoting investment, opportunity and health within rural communities since 1991.

 

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Staff

What we do

The South Carolina Office of Rural Health offers training, education and technical assistance to rural providers. We also empower rural communities to address the non-medical drivers of health on the local level.

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Rural Forward SC

 

Why we do it

With 32 percent of our state’s residents living in rural areas, the South Carolina Office of Rural Health believes in preserving and celebrating the unique character of rural communities.

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