Obstetric simulation training is an effective method for clinical health professionals to maintain skills, which is of particular importance for rural hospitals with low birth volumes and for rural hospitals that do not have obstetric units but need to remain prepared for obstetric emergencies. In this environmental scan, 79 obstetric simulation trainings were identified and are listed by state along with a description, the intended audience, and whether the training includes a mobile unit. Fifteen of these trainings have a specific rural focus. It is recommended that State Flex Programs and Critical Access Hospitals use this resource to identify available trainings in their state or neighboring states, foster new partnerships with organizations offering simulation training, or use as examples of rural-specific training programs.