A Crossroad for Physician-Led Care in Missouri.

With the initiation of the federal Rural Health Transformation Project (RHTP) policymakers in Jefferson City face a consequential decision this legislative session that will shape the future of healthcare delivery in Missouri.ey can pursue a proven, patient-centered path grounded in physicianled care, or they can follow a route that substitutes training and experience with expanded scope-ofpractice for mid-level healthcare professionals, injecting unnecessary risk and uncertainty for patients and the healthcare system.We remain optimistic that Missouri lawmakers will choose the right path when it comes to expending new federal funds for rural healthcare, but some caution is warranted.e announcement that Missouri has been awarded more than $216 million in first-year funding through the newly created RHTP is encouraging.Rural communities across the state face persistent challenges related to access, workforce shortages, and health outcomes.is investment presents a meaningful opportunity if implemented thoughtfully.MSMA appreciates the work of the Governor and his administration in securing these funds through a competitive federal process.At the same time, optimism must be paired with realism.While the RHTP award represents a significant influx of resources, Missouri is expected