In 2024, Open Door Clinic , based in Middlebury, Vermont, received a $25,000 Lipinski Rural Initiatives Award. Open Door Clinic is helping alleviate the healthcare barriers, especially in rural areas. The clinic offers affordable healthcare in Addison County, Vermont, a vibrant agricultural area with a large immigrant population, including those on H-2A visas who have limited access to the U.S. healthcare system. The clinic plays an important role for the farmworker population by offering preventative care, in some cases through on-farm visits to help overcome transportation and logistical issues. The $25,000 award will provide support to the clinics, including necessary supplies for managing chronic conditions and home monitoring.