Alabama Rural Health Roadshow Draws Engagement From Rural Healthcare Leaders

The Alabama Rural Health Association hosted its 2025 Alabama Rural Health Roadshow on Friday, November 21, 2025, from 10:00 a.m. to 2:00 p.m. at the ADPH Training Center in Prattville.  The event welcomed 35 in-person attendees, with an additional 15 participants joining virtually from across the state.

The interactive session focused on identifying the most significant health challenges facing Alabama’s rural communities while gathering direct input from local leaders, providers, and partners. Attendees engaged in open discussions on workforce shortages, barriers to care, behavioral health needs, transportation limitations, and emerging priorities that impact rural residents. Feedback collected during the Roadshow will play a central role in shaping the Alabama Rural Health Association’s Policy Agenda for the upcoming year.

Participants also explored collaborative strategies to improve access, enhance provider support, and strengthen community-based solutions. The hybrid format allowed statewide participation, ensuring diverse perspectives and a broad understanding of local needs. Lunch was provided for in-person attendees, and both in-person and virtual participation were offered at no cost.

The Alabama Rural Health Roadshow continues to serve as an important platform for dialogue and action on rural health issues. Registration was available online for all interested participants, reinforcing the Association’s commitment to accessibility, community engagement, and advancing rural health outcomes across Alabama.

Alabama’s Rural Transformation Fund: A Bold New Vision for Rural Healthcare

The Alabama Governor’s Office has submitted a comprehensive proposal to the federal government to secure Rural Transformation Fund resources that could reshape healthcare delivery across Alabama’s 58 rural counties. Known as the Alabama Rural Health Transformation Program (ARHTP), the initiative represents one of the most ambitious rural health reform plans in state history, designed to stabilize struggling facilities, expand access, strengthen the workforce, and bring care closer to home for more than 1.6 million rural residents.

A Statewide Strategy for Sustainable Change

At its core, the ARHTP aims to ignite transformational change across Alabama’s healthcare ecosystem. Guided by principles of transformation, sustainability, and accountability, the plan targets measurable improvements in access, quality, and health outcomes. It focuses on five pillars:

  1. Improving Access – through statewide telehealth and remote monitoring networks, mobile specialty services, and expanded behavioral and maternal health care.
  2. Improving Outcomes – by leveraging data and technology for chronic disease management, cancer prevention, and integrated behavioral health care.
  3. Technology and Innovation – establishing regional IT and cybersecurity hubs to connect providers through shared Electronic Health Records and secure data systems.
  4. Partnerships and Workforce Development – expanding Graduate Medical Education and creating pipelines through the new Alabama School of Healthcare Sciences, community colleges, and hospitals.
  5. Financial Solvency and Sustainability – modernizing payment models, supporting Treat-in-Place EMS reimbursement, and incentivizing local and regional cooperation among providers.

Key Initiatives to Transform Rural Care

The plan includes ten major initiatives that will directly impact rural providers and communities:

  • Collaborative EHR, IT, and Cybersecurity Initiative will create regional “hub” hospitals to help smaller facilities modernize technology, improve interoperability, and reduce cybersecurity risks.
  • Rural Health Initiative will expand telehealth and shared service networks to reduce unnecessary transfers and improve coordination.
  • Maternal and Fetal Health Initiative will provide telerobotic ultrasound systems, digital regionalization for obstetric care, and emergency labor and delivery carts for rural hospitals.
  • Rural Workforce Initiative will fund healthcare training, Graduate Medical Education expansion, and incentives to attract professionals to rural practice.
  • Cancer Digital Regionalization Initiative will build on Alabama’s Operation Wipe Out model for mobile screening and early detection.
  • Simulation Training Initiative will expand specialty training programs like COACHES for pediatric and emergency care in community hospitals.
  • EMS Trauma, Stroke, and Treat-in-Place Initiatives will enhance statewide emergency coordination and allow paramedics to treat patients on-site using teleconsultation.
  • Mental Health Initiative will expand school-based tele-mental health and convert Community Mental Health Centers to Certified Community Behavioral Health Clinics.
  • Community Medicine Initiative will integrate mobile wellness screening, healthy food access, and public education on healthy living.

How ARHA Members Can Play a Role

Members of the Alabama Rural Health Association (ARHA) are vital to the success of this plan. Hospitals, clinics, behavioral health centers, and academic partners across the state will have opportunities to participate in and benefit from these initiatives. Here are several ways ARHA members can engage:

  1. Participate in Pilot Projects: Members should watch for funding announcements and Requests for Proposals from ADECA or ADPH to serve as regional “hub” hospitals, telehealth partners, or workforce training sites.
  2. Support Policy Development: The Governor’s plan calls for an ARHTP Advisory Group, established by executive order in 2026, to recommend telehealth parity, EMS reimbursement, and licensure reforms. ARHA will help to ensure that rural providers have a voice in shaping these policies.
  3. Leverage Shared Resources: Members can explore shared IT services, cybersecurity operations, and group purchasing agreements through the proposed regional networks.
  4. Strengthen Local Coalitions: Collaboration among hospitals, clinics, schools, and public health agencies will be crucial to implementing programs such as school-based tele-mental health and maternal care hubs.
  5. Promote Workforce Pipelines: Rural facilities can partner with our universities, local colleges and workforce development programs to host training, internships, and residency programs that will sustain the healthcare workforce into the next decade.

The Road Ahead

The ARHTP will represent hundreds of millions of dollars of direct investment into rural healthcare over five years, potentially transforming how care is delivered across Alabama’s small towns and communities. The Alabama Rural Health Association stands ready to partner with the Governor’s Office, ADECA, and state agencies to ensure that rural voices are represented, that projects reflect real community needs, and that this unprecedented opportunity results in lasting, measurable improvements for Alabama’s rural citizens.

Changes Coming to HHS

Secretary Kennedy will announce significant changes to the US Department of Health and Human Services, which will cut roughly a quarter of the workforce, reshape the nation’s health agencies, and close 5 of the 10 HHS regional offices.

As part of the reorganization, Kennedy is creating a new subdivision called the Administration for a Healthy America, will include the Health Resources and Services Administration (HRSA), the Office of the Assistant Secretary for Health (OASH), and the Substance Abuse and Mental Health Services Administration (SAMHSA), as well as two groups that currently reside within the CDC: the Agency for Toxic Substances and Disease Registry and the National Institute for Occupational Safety and Health.

Other key changes include: 

  • A new Assistant Secretary of Enforcement that will include several offices related to adjudicating or investigating disputes related to Medicare and areas of HHS. 
  • A new Office of Strategy that will include the Agency for Healthcare Research and Quality (AHRQ), will merge with the Assistant Secretary for Planning and Evaluation (ASPE). 
  • Programs for older adults currently under the Administration for Community Living (ACL) will move to other divisions of HHS, including CMS. 

Specific information on changes to the Federal Office of Rural Health Policy, as well as other HRSA programs, are not yet known.  NRHA will keep members apprised as additional information becomes available.

Recently Released from the Agencies:

Workforce, Nondiscrimination, and Other Final Rules with Impacts for RHCs

Over the last several weeks, the HHS Office of Civil Rights (OCR), Centers for Medicare and Medicaid Services (CMS), Department of Labor (DOL), and the Federal Trade Commission (FTC) all released massive final rules covering policies ranging from overtime eligibility to nondiscrimination to Medicaid access and transparency. NARHC has compiled initial summaries of each rule of impact and interest to the RHC community. Please see each notable rule linked below.

·Medicaid Access and Transparency
Medicaid Fee-For-Service
Medicaid Managed Care

·HHS Rule
Nondiscrimination: Section 1557 of the Affordable Care Act

·Workforce
Noncompete Ban
Overtime Eligibility

We anticipate that the RHC community will have numerous questions regarding these rules and associated requirements. Stay tuned for continued resources.
Please contact Sarah.Hohman@narhc.org with any questions.

Sincerely,
National Association of Rural Health Clinics

ARHA Welcomes Six New Board Members

The Alabama Rural Health Association is pleased to welcome six new board members who will begin a three-year term on July 1, 2024. These new board members were nominated and voted by their member peers throughout the state. They are as follows:

Lamont Dupree
Executive Director
North Alabama Area Health Education Center

Lamont Dupree is the new Executive Director of North Alabama Area Health Education Center (NA-AHEC) in Huntsville, AL. He served in numerous positions for NA-AHEC since 2015 including Associate Director most recently. During this time, Lamont oversaw the Center’s community health worker team and network of community health workers during the organization’s regional COVID response in rural Northern Alabama. His passion for students and healthcare led to his selection to Governor Ivey’s Alabama Committee on Credentialing and Career Pathways, Health Science Technical Advisory Committee where he serves as Chairperson. Additionally, he was also Governor-appointed to serve on the Alabama State Department of Education Course of Study Committee, Career and Technical Education Health Science. Lamont’s wealth of experience, knowledge, and passion for serving rural communities makes him an ideal candidate for the ARHA board of directors.

Mack G. Fitz-Gerald
Director, Clinic Operations
Whitfield Regional Hospital

Mack has over thirty-five years of experience in the rural healthcare setting and currently manages four full-time clinics, including two rural health clinics and two hospital-based clinics. The hospital-based clinics include an oncology clinic and a multi-provider specialty clinic that includes cardiovascular, orthopedics, ENT, pain, and surgery. In addition, Mack launched a fully-staffed mobile clinic that provides on-site healthcare for local businesses. His experience managing all business aspects of rural healthcare clinic operations, first for a privately-owned multi-provider practice and now for a rural hospital, give him a unique perspective into the challenges facing rural healthcare providers.

Dr. Samuel Gillespie
Physician
Lawrence Medical Center

Dr. Samuel Gillespie is one of the 9 providers within our rural health clinics. He is not only an outstanding physician but also a great teacher. He is very knowledgeable in all aspects of patient care from their treatment plan all the way through dealing with insurance and billing. He is also identified as a great leader who all of the staff of the facility admire.

Dr. Tim Littmann
Family Physician
Lake Martin Family Medicine

Tim Littmann, MD, is a family physician at Lake Martin Family Medicine. Dr. Littmann received a Bachelor of Science in Zoology in 2011 and a Bachelor of Science in Molecular Biology in 2014 from Auburn University. He graduated in 2018 with his Doctorate of Medicine from the UAB School of Medicine and completed his residency at North Alabama’s largest primary care practice in the UAB Huntsville Family Medicine Residency Program. During his residency, he was voted best resident teacher by both his students and his attendings. He continues to shape future generations of physicians and works a preceptor for UAB Heersink School of Medicine, Auburn University’s Rural Medicine Program, as well as with Edward Via College of Osteopathic Medicine. Dr. Littmann developed an interest for rural health while shadowing at Lake Martin Community Hospital as an undergraduate at Auburn. As a member of the Rural Medicine Program, he continued his studies at UAB with a focus in underserved areas. He also serves as a preceptor for rural medical students going to UAB as well as clinical faculty at VCOM teaching rural medicine rotations.

Dr. Zack Studstill
Executive Director
Alabama Dental Association

Dr. Zack Studstill, a native of Andalusia, graduated from the University of Alabama School of Dentistry and practiced general dentistry in Montgomery, AL until December of 2009. He has been involved in leadership positions with the Alabama Dental Association and the America Dental Association, having served on the Board of Trustees of both organizations. As a member of the Council on Governmental Affairs of the American Dental Association, he was given an opportunity to gain governmental affairs experience as the Council developed policy for dentistry on the national level.In 2010, he became Executive Director of the Alabama Dental Association. In his capacity as Executive Director, Dr. Studstill testified before Alabama House and Senate Legislative Committees on policy developed by the Alabama Dental Association’s Council on Legislation. He was appointed by Governor Ivey to serve on the Joint Interim Legislative Healthcare Workforce Taskforce which was charged to address the shortage of health care professionals in rural Alabama. As a part of his duties lobbying for the Association, he developed collegial working relationships with key legislators in the Alabama House and Senate and the Governor.

Dr. Mickey Trimm
Partner & Senior Vice President
Koble Health Services

J.M. “Mickey” Trimm, PhD has spent the past 45 years working in rural healthcare in Alabama. During that time he has worked in almost every segment of the state, from Tuscumbia to Fort Payne, to Brewton to Phenix City. He was a founding member of the Alabama Rural Health Association. Currently he serves as a partner and Senior Vice President for Koble Health Services where he is responsible for expanding behavioral and mental health services throughout Alabama and the Southeast. Prior to joining Kolbe in 2019, Dr. Trimm served at UAB as Associate Professor and Director for the Center for Healthcare Management & Leadership, teaching healthcare strategic management, research methods, information technology, and oversaw the development of the undergraduate internship program that places hundreds of students in healthcare organizations around the state. He is also the owner and principal consultant for TwoMark Health Services, the organization he founded in 1996 after completing his PhD in Health Administration at UAB. TwoMark was created to help rural communities improve their healthcare. Engagements included designing, constructing, and obtaining Certificate of Need applications for hospitals, clinics, and ambulatory surgical centers in rural communities, reviews for Critical Access Hospitals, and community needs assessments.Prior to founding TwoMark, he spent 16 years in the Administration of the Birmingham Baptist Health System, helping build that system to 11 hospitals throughout rural central Alabama.In addition to Dr. Trimm’s PhD in Health Administration, he holds an MBA from Samford University and a BS in Industrial Engineering from the University of Alabama. Dr. Trimm lives in Birmingham and owns a farm in rural Tuscaloosa County.

The Alabama Rural Health Association is a 1,000+ member organization supporting rural patients, providers, and communities throughout the State of Alabama. For more information, visit http://www.arhaonline.org or call 334-697-8541.