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The Rural Mothers and Fathers Choice Act establishes a ten-year federal grant program administered by the Department of Health and Human Services to support families in rural and tribal communities through integrated education, health, and workforce services. The bill authorizes up to six implementation grants of $6 million per year each, awarded to nonprofit organizations or tribal governments that operate "hub and spoke" sites to deliver coordinated services such as early childhood education, literacy tutoring, mental health care, and job training. Recipients must partner with local schools, healthcare providers, and economic development agencies, while a Family Advisory Council composed largely of local parents oversees the program’s budget and planning. To ensure long-term sustainability, grantees are required to provide increasing levels of matching funds over the decade, starting with no match for the first three years and rising to 20 percent by the final year.