Create the Rural Health Transformation Fund

LB 1229 creates a dedicated "Rural Health Transformation Fund" to hold federal funds from the Centers for Medicare and Medicaid Services' Rural Health Transformation Program, authorized under federal law. The bill requires all applications for and expenditures of these federal funds to be electronically reported to the Legislature and posted publicly, including details on beneficiaries, outcomes, and metrics. It also prohibits using the fund to replace existing state rural health spending and mandates that applicants submit a sustainability plan before receiving funds. The bill strictly limits the fund's use to federal program-approved purposes only.