Nearly twice as many new cases have been reported from rural counties compared to urban or suburban counties. The majority of cases in rural counties are increasingly white, non-Hispanic as compared with previous months. COVID-19 related deaths in rural counties also increased significantly, and account for the majority of deaths statewide compared with deaths in urban and suburban counties. Among deaths in rural counties, deaths among white, non-Hispanic and Black/African American cases have increased over time. The majority of COVID-19 cases in rural communities are in people 49 years and younger. The increase is being driven by community spread, not congregate living settings like nursing homes or jails.