Washington, DC…The Centers for Medicare & Medicaid Services (CMS) announced that all 50 states will receive awards under the Rural Health Transformation Program, a $50 billion initiative established under President Trump’s Working Families Tax Cuts legislation (Public Law 119-21) to strengthen and modernize health care in rural communities across the country. In 2026, states will receive first-year awards from CMS averaging $200 million within a range of $147 million to $281 million. This unprecedented federal investment will help states expand access to care in rural communities, strengthen the rural health workforce, modernize rural facilities and technology, and support innovative models that bring high-quality, dependable care closer to home.
“More than 60 million Americans living in rural areas have the right to equal access to quality care,” said Health and Human Services Secretary Robert F. Kennedy, Jr. “This historic investment puts local hospitals, clinics, and health workers in control of their communities’ healthcare. Thanks to President Trump’s leadership, rural Americans will now have affordable healthcare close to home, free from bureaucratic obstacles.”
“Today marks an extraordinary milestone for rural health in America,” said CMS Administrator Dr. Mehmet Oz. “Thanks to Congress establishing this investment and President Trump for his leadership, states are stepping forward with bold, creative plans to expand rural access, strengthen their workforces, modernize care, and support the communities that keep our nation running. CMS is proud to partner with every state to turn their ideas into lasting improvements for rural families.”
A Nationwide Commitment to Strengthen Rural Health Care
The Rural Health Transformation Program is a national commitment to improving the health and well-being of rural communities across the country. With this funding, states will implement comprehensive strategies to improve care delivery, support providers, and advance new approaches to coordinating health care services across rural communities. Across the country, many states are planning efforts that will:
- Bring More Care Within Reach
States will advance Make Rural America Healthy Again goals by expanding preventive, primary, maternal, and behavioral health services and creating new access points that bring care closer to home and help preserve strong local health systems. Many states are implementing evidence-based, outcomes-driven strategies—such as physical fitness and nutrition programs, food-as-medicine initiatives, and chronic disease prevention models—to address root causes of diseases and manage chronic conditions. States will also strengthen rural emergency care through improved emergency medical services (EMS) communication, treat-in-place options, and coordinated transfers.
- Strengthen and Sustain the Rural Clinical Workforce
States will support clinical workforce training, residencies, recruitment and retention incentives, and new pathways that help students begin health care careers in their own communities. States are also investing in programs to train and support the existing clinical workforce and build futures close to home.
- Modernize Rural Health Infrastructure and Technology
Investments will modernize rural facilities and equipment; strengthen cybersecurity and interoperability; and expand telehealth, remote patient monitoring, and digital tools that enable timely access to care. States are also exploring the use of technology such as AI scribes and clinical workflow improvement tools to reduce burdens on clinicians.
- Driving Structural Efficiency & Empowering the Community Providers
States will prioritize streamlining operations, empowering providers to enhance coordination of care and resources, and building partnerships across the state with the goal of keeping care local. This includes establishing specialized hub-and-spoke models, rural regional centers of excellence, comprehensive data-sharing platforms, and rural clinically integrated networks.
- Advance Innovative Care Models and Payment Reform
States will test new primary care and value-based care models, strengthen partnerships among rural and other providers, and promote regional collaboration that improves health sustainability and patient outcomes.
Awardees and Funding Amounts
The Rural Health Transformation Program’s $50 billion in funds will be allocated to approved states over five years, with $10 billion available each year from 2026 through 2030. As directed by Public Law 119-21:
- 50% of the funding is distributed equally among all approved states. This provides states with a strong foundation to begin implementing their Rural Health Transformation Plans; and
- 50% is allocated based on a variety of factors. As described in the Notice of Funding Opportunity, those factors include individual state metrics around rurality and a state’s rural health system, current or proposed state policy actions that enhance access and quality of care in rural communities, and application initiatives or activities that reflect the greatest potential for, and scale of, impact on the health of rural communities. All scoring factors are outlined further in the Notice of Funding Opportunity.
CMS made funding awards to all 50 states.
| State | FY26 Award Amount |
|---|---|
| Alabama | $203,404,327 |
| Alaska | $272,174,856 |
| Arizona | $166,988,956 |
| Arkansas | $208,779,396 |
| California | $233,639,308 |
| Colorado | $200,105,604 |
| Connecticut | $154,249,106 |
| Delaware | $157,394,964 |
| Florida | $209,938,195 |
| Georgia | $218,862,170 |
| Hawaii | $188,892,440 |
| Idaho | $185,974,368 |
| Illinois | $193,418,216 |
| Indiana | $206,927,897 |
| Iowa | $209,040,064 |
| Kansas | $221,898,008 |
| Kentucky | $212,905,591 |
| Louisiana | $208,374,448 |
| Maine | $190,008,051 |
| Maryland | $168,180,838 |
| Massachusetts | $162,005,238 |
| Michigan | $173,128,201 |
| Minnesota | $193,090,618 |
| Mississippi | $205,907,220 |
| Missouri | $216,276,818 |
| Montana | $233,509,359 |
| Nebraska | $218,529,075 |
| Nevada | $179,931,608 |
| New Hampshire | $204,016,550 |
| New Jersey | $147,250,806 |
| New Mexico | $211,484,741 |
| New York | $212,058,208 |
| North Carolina | $213,008,356 |
| North Dakota | $198,936,970 |
| Ohio | $202,030,262 |
| Oklahoma | $223,476,949 |
| Oregon | $197,271,578 |
| Pennsylvania | $193,294,054 |
| Rhode Island | $156,169,931 |
| South Carolina | $200,030,252 |
| South Dakota | $189,477,607 |
| Tennessee | $206,888,882 |
| Texas | $281,319,361 |
| Utah | $195,743,566 |
| Vermont | $195,053,740 |
| Virginia | $189,544,888 |
| Washington | $181,257,515 |
| West Virginia | $199,476,099 |
| Wisconsin | $203,670,005 |
| Wyoming | $205,004,743 |
A Strong Partnership with States to Deliver Lasting Change
With today’s announcement, CMS launches a new phase of collaboration with every state to accomplish their transformative visions. CMS project officers dedicated to each state will convene program kickoff meetings and provide ongoing guidance and technical assistance during implementation. States will submit regular updates so CMS can track progress, identify proven approaches, support successful execution of their plans, and ensure strong oversight throughout the program.
States will also convene annually at the CMS Rural Health Summit—to be held during the CMS Quality Conference in 2026—to share lessons learned, highlight effective models, and accelerate innovation across regions.
Additional Background
CMS evaluated applications through a rigorous merit review process, consistent with standard HHS grantmaking procedures, that incorporated assessments from federal and non-federal subject matter experts with unique perspectives relevant to rural health. These individuals represented expertise across clinical, operational, workforce, technology, and payment mechanism disciplines. Reviewers were screened for conflicts of interest and did not assess applications from states with which they had personal or professional ties. Applications were evaluated using a structured scoring framework outlined in the Notice of Funding Opportunity and aligned with statutory goals, ensuring a fair and consistent process across all 50 states.
The program follows standard HHS grants policy, including protections that ensure the integrity of the merit review process, consistent with longstanding HHS practices for competitive grant and cooperative agreement programs. Additional information on the Rural Health Transformation Program, including the Notice of Funding Opportunity, is available at: http://www.cms.gov/RHTProgram.
To view the Rural Health Transformation Program State Project Abstracts visit https://www.cms.gov/files/document/rht-program-state-provided-abstracts.pdf [PDF]
CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States added by admin on
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I’ll believe it when I see it.
Typical maga promises, then nothing.
The con continues.
Another Cali Congressional Trumpster just ate the big one. Now, we’ll get another Dem Congressman. Great!!
It all begins to turn around come November and the mid-terms.
tacotacotacotacotactaco
The Trump administration, primarily through actions associated with the Department of Government Efficiency (DOGE), is associated with projected cuts of approximately $137 billion to $155 billion in federal Medicaid spending in rural areas over a ten-year period. These cuts were part of a larger budget reconciliation law signed by President Trump, which included a gross reduction of $990 billion in federal Medicaid and CHIP spending over a decade.
In response to concerns that these cuts would lead to hundreds of rural hospital closures, the administration established a $50 billion “Rural Health Transformation Fund” to be distributed to states over five years (2026-2030). However, this new funding is considered by policy experts to be significantly less than the projected losses caused by the Medicaid cuts, covering only about a third of the estimated reductions in rural areas.
The Trump administration is cutting off more than $10 billion in social services and child care funding meant for a handful of Democrat-led states, officials told The Post Monday.
Turning our health care system into a joke
Send Don to an ER with a major head wound
Newsom 2028. Undo Trump !!!!
Where is my $2000 MAGA buck????
You’ll never get it. The tariffs don’t even bring in enough to pay the interest on the national loan debt and there is nothing left to pay on the principal.
Fuck Mehmet
I think Oz should be the Republican candidate for POTUS in 2028.
Maybe we could elect someone who didn’t have a tv show?
Go back to bed and beat your 1/2 incher.
^^Hello Mr. PeaBrain
Good morning 1/2 incher.
Newsom 2028!! Undo Trump !!!!
Who cares what this clown has to say he doesn’t even know highway 4 and 12 don’t intersect. But intersect is a 3 syllable word and thus hard for his tiny little Trumpanzie brain to comprehend
Good morning 1/2 incher ? Hoooohaaaaa! Boy that’s a good one did you think that up all on your own Cooter??
Take it up with the cashiers at Sierra Hills Market. Or maybe your ghetto neighbors will listen.
He is projecting again. Since he doesn’t know what that means I’ll explain. It means he continues to talk about small penis size and such because he if fact is inadequate as a man. He probably is not even mayor with a woman. Yea, and he himself is probably quite tiny.
Do you support America now an Imperialistic power threatening countries and taking them?
Is maga your thing?
Do you support a convicted rapist and pedophile president in office only by corruption of billionaire $?
Do you support a Republican party which chooses $ over Democracy liberty and freedom?
If not, you need to think about supporting real change from a regime which is hollowing out America for a handful of billionaires, who are only interested in $ and power.
Calaveras county made the national news. The cost of healthcare went up by a jaw dropping 191%. Thanks to house republicans and the trump/vance administration. With help of the insurrectionists in the Republican Party