State Offices of Rural Health Act of 1990

State Offices of Rural Health Act of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to States to establish (or assist existing) State rural health offices to: (1) provide leadership and advocacy for rural residents with regard to rural health; (2) coordinate with the Agricultural Extension Service; (3) make recommendations on improving the quality and cost effectiveness of rural health care delivery; (4) report periodically to the Office of Rural Health Policy (Policy Office); and (5) communicate and cooperate with rural health research centers established by the Policy Office.

Requires matching State funding. Prohibits States from using more than five percent of their grants for research. Specifies optional activities of the offices. Requires an annual meeting between representatives of each State office and representatives from the Policy Office to share information and coordinate strategies for improving quality and cost effectiveness of rural health care delivery.

Authorizes appropriations.