During the COVID-19 pandemic, the federal government increased funding to hospitals and clinics and incentivized states to pause terminating enrollees from the Medicaid program to help increase access to health care and ease the financial burden caused by the global public health emergency. With the end of the pandemic in sight, we all need to prepare for the unwinding of the public health emergency (PHE). TennCare (our state’s Medicaid agency) has estimated that 300,000 people will lose their Medicaid health insurance after the PHE ends. Hospitals and clinics are bracing for a significant reduction in funding, particularly in rural areas where providers were struggling even before the pandemic to provide health care to many uninsured people. The Rural Health Association of Tennessee and the Tennessee Justice Center discuss how the PHE unwinding will impact access to health care in your community.