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The change itself has been successful in other states, but local health department workers say West Virginia is making the new funding process especially difficult for small, rural clinics.

United statesWyoming countyWest virginiaPendleton countyHardy countyWest virginiansAmber hedrickNikita sutherlandClare colemanJoanna murrayMatthew christiansenHardy county health departmentVirginia department of healthNational family planningReproductive health associationHealth department