FundingTaking effectUpdated Sep 24, 2026

The $50 billion Rural Health Transformation Program

How each state is dividing its award, whether health centers are named or eligible, and which application windows are open.

256 updates · 254 sources · 2 analysis

RSS This week's summary

Where it stands

Delaware's round of nearly $23 million goes to its three federally qualified health centers. States are announcing awards and the health center share varies widely. Indiana's $112.4M in regional grants lists at least a dozen FQHCs as subrecipients, while Hawaii's first $58 million and Vermont's $11.7M round name no health center. In Maine, 100 lawmakers asked for $3 million to $6 million of the state's allocation to keep Penobscot Community Health Care open. State award lists often name more health centers than the press releases: New York's includes Refuah Health Center at $3.5 million, and South Carolina's funds at least ten health centers across 228 projects.

As of Sep 24, 2026

Based on: New York State Department of Health · South Carolina Department of Health and Human Services · Centers for Medicare & Medicaid Services · Indiana GROW Rural Health · Kauai Now / Maui Now · Centers for Medicare & Medicaid Services · WABI-TV

Analysis

The first rural health award lists name one health center

FQHC Talent · Aug 20, 2026

New Jersey's first $83 million Rural Health Transformation round names one Section 330 health center, Zufall Health, with $754K across two awards. Coverage of Wyoming's $205 million allocation names none, though the full award list is not published. In the same weeks RWJBarnabas Health reported a cumulative $49.35 million invested in eight independent New Jersey health centers since 2024.

This week: Ask your state's rural health office how health centers can apply directly, and ask your referral hospital what it would cost them if your sites closed.

Based on: New Jersey awards its first $83M Rural Health Transformation round — Zufall Health is the only named Section 330 FQHC, with $754K across two awards in a hospital- and EMS-led list · Wyoming's rural health panel divides the full $205M transformation fund — hospitals, EMS and workforce lead; no health center is named in the award coverage · RWJBarnabas Health discloses a cumulative $49.35M investment in eight independent New Jersey FQHCs

What to watch

Award lists: whether a health center is named, and for how much.
Windows that close within weeks of opening.

What's next

Oct 30, 2026 · in 32 days
Deadline to award all Idaho Year-1 RHTP funds Deadline · ID
Oct 30, 2026 · in 32 days
Federal deadline to commit RHTP Year 1 funds Deadline · TN
Oct 31, 2026 · in 33 days
All Year-1 RHTP funds must be obligated Deadline · WY

Calendar (.ics)

Timeline

What changed

What reaches health centers

Open

Government · Centers for Medicare & Medicaid Services

Sep 24, 2026

CMS: nearly $23M in Delaware rural health transformation funding goes to the state's three federally qualified health centers

On September 24, 2026, CMS announced that nearly $23 million in federal Rural Health Transformation Program funding will support Delaware's three federally qualified health centers.

DE Source

Government · Office of the Governor of West Virginia

Sep 24, 2026

West Virginia's first rural health Provider Productivity Support Fund award, $500,000, goes to CHANGE, Inc., a federally qualified health center

Governor Morrisey announced on September 22, 2026 a $500,000 award to CHANGE, Inc. Through West Virginia's Rural Health Transformation Program, the first award from its Provider Productivity Support Fund.

WV Source

Government · Alaska Department of Health

Sep 18, 2026

Alaska's award workbook, downloaded and parsed directly on September 21, carries 244 rows totaling $239,186,194.73 - roughly 88% of the state's $272,174,856 first-year award, up from the 56 projects and $34.7 million in our prior record.

AK Source

Show 68 earlier updates

Sep 15, 2026Kansas awards $16.0M in rural Emerging Technology grants to 14 providers; exactly one is a health centerGovernment · Kansas Department of Health and Environment
Sep 15, 2026South Carolina's Year 1 rural health award list funds at least ten community health centers across 228 projectsGovernment · South Carolina Department of Health and Human Services
Sep 14, 2026Two community health centers among five winners of $1.25M in rural health grants for school-based health centersGovernment · NC Department of Health and Human Services
Sep 11, 2026Utah opens two rural workforce competitions worth up to $30M and names FQHCs as eligible lead applicants, closing October 29Government · Utah Department of Health and Human Services
Sep 10, 2026Vermont's $11.7M rural health round puts $9M into tuition benefits for rural service; no health center is namedGovernment · Centers for Medicare & Medicaid Services
Sep 9, 2026West Virginia's $4.8M rural health round funds clinician recruitment and worksite clinics; CMS's release names no health centerGovernment · Centers for Medicare & Medicaid Services
Sep 4, 2026New York's rural health awards include at least seven community health centers, led by Refuah Health Center at $3.5 millionGovernment · New York State Department of Health
Sep 4, 2026CMS's $76M New York rural health release lists federally qualified health centers among the providers the funding coordinatesGovernment · Centers for Medicare & Medicaid Services
Sep 3, 2026Indiana awards $112.4M in GROW rural health regional grants, and at least a dozen Indiana FQHCs appear on the subrecipient listsGovernment · Indiana GROW Rural Health
Sep 3, 2026Tennessee's first rural-transformation awards fund 53 prevention projects, and every named recipient is a local government or a nonprofitWKRN News 2
Sep 2, 2026100 Maine lawmakers ask the state for $3 million to $6 million in rural-health funds to keep Penobscot Community Health Care openNews · WABI-TV
Sep 2, 2026GO-NORTH's primary-care money reaches the street: a $15.5M RFA names FQHCs first among eligible lead applicants, closing October 15Foundation for Healthy Communities
Sep 1, 2026Hawaii directed its first $58 million of rural-health money to a medical school and a state agency, naming no health centerKauai Now / Maui Now
Aug 31, 2026Maine Senate Republicans ask DHHS to carve a dedicated FQHC fund out of the state's $190 million rural-health allocationNews · WABI-TV
Aug 28, 2026Idaho's $97 million rural health infrastructure subgrant lists federally qualified health centers among eligible awardeesGovernment · Idaho Department of Health and Welfare
Aug 27, 2026Arkansas becomes the first tracked rural-health round to name AND quantify health-center money — $4.6M of $149.3M across three FQHC-led awardsGovernment · Office of Governor Sarah Huckabee Sanders
Aug 27, 2026CMS says Georgia's $93.3M round completes its first-year award cycle, supporting 87 rural hospitals; no health center is namedGovernment · Centers for Medicare & Medicaid Services
Aug 26, 2026CMS announces $3.15M to connect pharmacies and FQHCs across Ohio's 73 rural countiesGovernment · Centers for Medicare & Medicaid Services
Aug 25, 2026Alaska announces $160M across 142 rural-health projects — no FQHC or recipient is named in the CMS releaseGovernment · Centers for Medicare & Medicaid Services
Aug 25, 2026West Virginia's rural-health program FAQ never names health centers among eligible entities — zero mentions across 19 pagesGovernment · West Virginia Department of Health
Aug 24, 2026Alabama's first $144M-plus rural-health grant round names PCA and FQHC recipientsGovernment · Office of Alabama Governor Kay Ivey
Aug 24, 2026Alabama's first rural-health awards name and fund community health centers by name — breaking the hospitals-first pattern we have tracked in every other stateGovernment · Office of Governor Kay Ivey
Aug 24, 2026Pennsylvania moves the $1.8M FQHC EHR and exchange window to Past OpportunitiesGovernment · Pennsylvania Department of Human Services
Aug 24, 2026Pennsylvania's $43M rural-project record names three health-center organizations across five award linesGovernment · Pennsylvania Department of Human Services
Aug 21, 2026New Jersey opens Year Two of its Rural Health Transformation program — and again does not name health centersGovernment · New Jersey Department of Health
Aug 20, 2026The first rural health award lists name one health centerAnalysis · FQHC Talent
Aug 20, 2026CMS launches a $1 million North Dakota rural care-coordination initiative without naming an FQHC awardeeGovernment · Centers for Medicare & Medicaid Services
Aug 14, 2026Alaska's first rural-transformation awards put $34.7M on the street across 56 projects — and health centers are genuinely in the mixGovernment · Alaska Department of Health
Aug 14, 2026Wyoming's rural health panel divides the full $205M transformation fund — hospitals, EMS and workforce lead; no health center is named in the award coverageWyoming Public Media
Aug 13, 2026KDHE awards $1,007,152 to seven rural organizations for Community Health Workers and Accountable Food is MedicineGovernment · Kansas Department of Health and Environment
Aug 12, 2026Georgia signs $26M in GREAT surgical-robot awards for thirteen hospitals; no health center is namedGovernment · Georgia Department of Community Health
Aug 12, 2026Utah names FQHCs as eligible applicants in a $12.5M rural EMS grant round closing September 13Government · Utah Department of Health and Human Services
Aug 11, 2026Florida's official Year 1 rural award list now names community health-center operators and exact amountsGovernment · Executive Office of the Governor of Florida
Aug 11, 2026Nebraska has awarded $136 million of its $218.5 million rural-health allocation, and coverage names no health center among ~200 granteesNews · Nebraska Public Media
Aug 11, 2026TDH now lists five RHTP procurement tracks but no award, contract value, or deadline on its own pageGovernment · Tennessee Department of Health
Aug 11, 2026FQHCs remain eligible for Tennessee RHTP sub-awards and statewide RAMP applications, with registration still a pre-award gateGovernment · Tennessee Department of Health
Aug 10, 2026Maryland rural-health awards name Choptank, Greater Baden, Mountain Laurel, and West CecilGovernment · Maryland Department of Health
Aug 10, 2026Maryland rural-health awards name Choptank, Greater Baden, Mountain Laurel, and West CecilGovernment · Maryland Department of Health
Aug 3, 2026Colorado's $160M rural-health application round closed August 3; award decisions are not yet publishedGovernment · Colorado Department of Health Care Policy and Financing
Jul 31, 2026New Jersey awards its first $83M Rural Health Transformation round — Zufall Health is the only named Section 330 FQHC, with $754K across two awards in a hospital- and EMS-led listGovernment · Office of the Governor of New Jersey / NJ Department of Health
Jul 30, 2026Nevada's second rural-health round sent $50 million to workforce programs and named no health center — the second consecutive round to do soCarson Now
Jul 24, 2026Delaware selects three vendors to build statewide Food is Medicine infrastructureGovernment · Delaware Food is Medicine Committee / State of Delaware News
Jul 24, 2026North Dakota opens roughly $5 million Technology as an Extender funding to eligible rural-serving FQHCsGovernment · North Dakota Health and Human Services
Jul 24, 2026WellSpan confirms $2.8M in RHTP awards across three named rural-hospital projectsWellSpan Health
Jul 23, 2026Georgia's rural-transformation awards reach $103.8M as Phase 3 sends $60M to eighty rural hospitals — and across all three phases, no community health center is a named recipientGovernment · Georgia Department of Community Health
Jul 20, 2026RHTP dollars reach a named Oregon FQHC: Winding Waters (Wallowa County) wins $247K to add pharmacy delivery as chains exit rural OregonNews · OPB
Jul 16, 2026Georgia issues $30.6M in Phase 2 GREAT Health rural-transformation awards to 26 organizations — no community health center among the named awardeesGovernment · Georgia Department of Community Health
Jul 15, 2026Iowa's current Healthy Hometowns page lists a $209M first-year award, five initiatives, and live funding and award linksGovernment · Iowa Department of Health and Human Services
Jul 15, 2026Nebraska confirms $218.529M first-year rural-health award and names FQHC-eligible initiativesGovernment · Nebraska DHHS
Jul 15, 2026Wyoming's integrated-primary-care RFA prioritizes FQHCs and Tribally operated 638 clinicsWyoming Department of Health
Jul 14, 2026Delaware budgets $24.3 million for rural-provider and FQHC value-based-care readinessGovernment · Delaware DHSS Division of Public Health
Jul 10, 2026Michigan lists a conditional $1M rural transportation award under Care Closer to HomeGovernment · Michigan Department of Health and Human Services
Jun 23, 2026Nevada's first-budget-period RHT roster names Nevada Health Centers and NVPCA workforce projectsGovernment · Nevada Health Authority
Jun 10, 2026$9.5M Kansas Emerging Technology RFA explicitly includes FQHCs; Aug. 7 award date is tentativeGovernment · Kansas Department of Health and Environment
Jun 9, 2026Rural Texas Strong Workforce Grant Window Closed June 9; Rural FQHCs Were Explicitly EligibleGovernment · Texas Health and Human Services Commission
Jun 8, 2026Georgia awards the first $12.73M in GREAT Health subgrants; no health center is named in round oneGovernment · Georgia Department of Community Health
May 29, 2026Kansas awards $79.1M to 39 RHTP recipients—and PrairieStar Health Center receives $1.99M for dental capacityGovernment · Kansas Department of Health and Environment
May 22, 2026Region 4's GROW letter identifies Indiana Health Centers and Neighborhood Health Center as proposed subrecipientsGovernment · State of Indiana
May 8, 2026GO-NORTH director says direct provider payments are capped at 15% of fundsNew Hampshire Public Radio
May 8, 2026A May source review finds school-based health centers absent from Pennsylvania's initial rural-health planNews · 90.5 WESA
May 5, 2026Montana's 20-member rural-health advisory council includes an FQHC applicant categoryGovernment · Montana Department of Public Health and Human Services
May 4, 2026Applications open for Arkansas's $209M FY26 Rural Health Transformation funds — FQHCs explicitly eligibleGovernment · Office of Governor Sarah Huckabee Sanders
Apr 30, 2026California Awarded $233.6M Rural Health Transformation Funding for FFY26 — HCAI Implements Rural FQHC VisionGovernment · HCAI California State Office of Rural Health
Apr 10, 2026OHA identifies 12 initial Rural Health Transformation projects for up to $6.5MGovernment · Oregon Health Authority
Apr 9, 2026Ammonoosuc CEO says rural-health funds will not offset Medicaid reductionsNews · New Hampshire Bulletin
Mar 18, 2026Minnesota carves an explicit FQHC share out of its $193M rural transformation award — five centers, up to $1.9M each, no matchGovernment · Minnesota Department of Health
Mar 6, 2026Signed Wyoming law sets a 36.4% target within time-limited RHT initiatives for integrated primary careGovernment · Wyoming Legislature
Dec 30, 2025Initial Rhode Island rural-award framework names FQHCs as clinical anchors across 18 rural townsGovernment · Governor of Rhode Island

State award announcements

Open

Government · Alaska Department of Health

Sep 18, 2026

AK Source

Government · Kansas Department of Health and Environment

Sep 15, 2026

Kansas awards $16.0M in rural Emerging Technology grants to 14 providers; exactly one is a health center

KDHE's Emerging Technology project-description document, read directly on September 21, lists 14 Rural Health Transformation Program recipients whose awards sum to $16,006,648.

KS Source

Government · Centers for Medicare & Medicaid Services

Sep 18, 2026

Vermont's $11.7M rural health round puts $9M into tuition benefits for rural service; no health center is named

Event: Sep 10

CMS announced $11.7 million for Vermont's Rural Health Transformation Program on September 10, 2026.

VT Source

Show 115 earlier updates

Sep 9, 2026West Virginia's $4.8M rural health round funds clinician recruitment and worksite clinics; CMS's release names no health centerGovernment · Centers for Medicare & Medicaid Services
Sep 4, 2026CMS's $76M New York rural health release lists federally qualified health centers among the providers the funding coordinatesGovernment · Centers for Medicare & Medicaid Services
Sep 3, 2026Indiana awards $112.4M in GROW rural health regional grants, and at least a dozen Indiana FQHCs appear on the subrecipient listsGovernment · Indiana GROW Rural Health
Sep 3, 2026Tennessee's first rural-transformation awards fund 53 prevention projects, and every named recipient is a local government or a nonprofitWKRN News 2
Sep 1, 2026Hawaii directed its first $58 million of rural-health money to a medical school and a state agency, naming no health centerKauai Now / Maui Now
Aug 27, 2026Arkansas becomes the first tracked rural-health round to name AND quantify health-center money — $4.6M of $149.3M across three FQHC-led awardsGovernment · Office of Governor Sarah Huckabee Sanders
Aug 27, 2026CMS says Georgia's $93.3M round completes its first-year award cycle, supporting 87 rural hospitals; no health center is namedGovernment · Centers for Medicare & Medicaid Services
Aug 26, 2026CMS announces $3.15M to connect pharmacies and FQHCs across Ohio's 73 rural countiesGovernment · Centers for Medicare & Medicaid Services
Aug 25, 2026Alaska announces $160M across 142 rural-health projects — no FQHC or recipient is named in the CMS releaseGovernment · Centers for Medicare & Medicaid Services
Aug 24, 2026Alabama's first $144M-plus rural-health grant round names PCA and FQHC recipientsGovernment · Office of Alabama Governor Kay Ivey
Aug 24, 2026Alabama's first rural-health awards name and fund community health centers by name — breaking the hospitals-first pattern we have tracked in every other stateGovernment · Office of Governor Kay Ivey
Aug 24, 2026Pennsylvania's $43M rural-project record names three health-center organizations across five award linesGovernment · Pennsylvania Department of Human Services
Aug 20, 2026The first rural health award lists name one health centerAnalysis · FQHC Talent
Aug 20, 2026Maryland offers $80M in first-round rural-health awards under its $168.18M first-year programGovernment · Maryland Department of Health
Aug 20, 2026CMS launches a $1 million North Dakota rural care-coordination initiative without naming an FQHC awardeeGovernment · Centers for Medicare & Medicaid Services
Aug 16, 2026Kansas RHTP posts seven CHW + food awards; transport awards remain anticipated Aug. 28 and no Emerging Technology recipients are postedGovernment · Kansas Department of Health and Environment
Aug 16, 2026Montana lists $221M across five RHTP core-initiative budgets without provider subawardsGovernment · Montana Department of Public Health and Human Services
Aug 14, 2026Alaska's first rural-transformation awards put $34.7M on the street across 56 projects — and health centers are genuinely in the mixGovernment · Alaska Department of Health
Aug 14, 2026Wyoming's rural health panel divides the full $205M transformation fund — hospitals, EMS and workforce lead; no health center is named in the award coverageWyoming Public Media
Aug 12, 2026Georgia signs $26M in GREAT surgical-robot awards for thirteen hospitals; no health center is namedGovernment · Georgia Department of Community Health
Aug 11, 2026Florida's official Year 1 rural award list now names community health-center operators and exact amountsGovernment · Executive Office of the Governor of Florida
Aug 11, 2026Nebraska has awarded $136 million of its $218.5 million rural-health allocation, and coverage names no health center among ~200 granteesNews · Nebraska Public Media
Aug 11, 2026TDH adds a $104.4 million RAMP funding frame, including $100 million for rural capital and $4.43 million for seed grantsGovernment · Tennessee Department of Health
Aug 11, 2026West Virginia legislators question management of the $199.5 million rural-health award with only about $39 million obligated before an October 30 deadlineThe Parkersburg News and Sentinel
Aug 10, 2026Maryland rural-health awards name Choptank, Greater Baden, Mountain Laurel, and West CecilGovernment · Maryland Department of Health
Aug 10, 2026Maryland rural-health awards name Choptank, Greater Baden, Mountain Laurel, and West CecilGovernment · Maryland Department of Health
Aug 7, 2026Alaska begins weekly publication of Rural Health Transformation funding decisionsGovernment · Alaska Department of Health
Aug 7, 2026Wyoming schedules August 11 review of Rural Health Transformation fund awardsGovernment · Wyoming Department of Health
Jul 31, 2026New Jersey awards its first $83M Rural Health Transformation round — Zufall Health is the only named Section 330 FQHC, with $754K across two awards in a hospital- and EMS-led listGovernment · Office of the Governor of New Jersey / NJ Department of Health
Jul 31, 2026Pennsylvania's first-year Rural Health Transformation award totals $193,294,053.98Government · Pennsylvania Department of Human Services
Jul 30, 2026Nevada's second rural-health round sent $50 million to workforce programs and named no health center — the second consecutive round to do soCarson Now
Jul 29, 2026Delaware awards four new school-based health centers in Sussex CountyGovernment · Delaware DHSS / Office of Governor Matt Meyer
Jul 24, 2026Delaware selects three vendors to build statewide Food is Medicine infrastructureGovernment · Delaware Food is Medicine Committee / State of Delaware News
Jul 24, 2026WellSpan confirms $2.8M in RHTP awards across three named rural-hospital projectsWellSpan Health
Jul 23, 2026Georgia's rural-transformation awards reach $103.8M as Phase 3 sends $60M to eighty rural hospitals — and across all three phases, no community health center is a named recipientGovernment · Georgia Department of Community Health
Jul 20, 2026RHTP dollars reach a named Oregon FQHC: Winding Waters (Wallowa County) wins $247K to add pharmacy delivery as chains exit rural OregonNews · OPB
Jul 16, 2026Georgia issues $30.6M in Phase 2 GREAT Health rural-transformation awards to 26 organizations — no community health center among the named awardeesGovernment · Georgia Department of Community Health
Jul 15, 2026Iowa's current Healthy Hometowns page lists a $209M first-year award, five initiatives, and live funding and award linksGovernment · Iowa Department of Health and Human Services
Jul 15, 2026Idaho's verified Rural Health Transformation award totals $185,974,367.81 for year one; later allocations are not guaranteedGovernment · Idaho Department of Health and Welfare
Jul 15, 2026LDH discloses an exact $208,374,447.57 federal assistance award for Louisiana RHTPGovernment · Louisiana Department of Health
Jul 15, 2026Nebraska confirms $218.529M first-year rural-health award and names FQHC-eligible initiativesGovernment · Nebraska DHHS
Jul 13, 2026Wisconsin's confirmed first-year Rural Health Transformation award is $203,670,005.21Government · Wisconsin Department of Health Services
Jul 10, 2026Arizona lists a $166.99M first-year rural-health award and an October 30 obligation targetGovernment · Arizona AHCCCS
Jul 10, 2026Michigan's Rural Health Transformation Program lists a $173.1M FY2026 budget periodGovernment · Michigan Department of Health and Human Services
Jul 10, 2026Michigan posts conditional Rural Health Transformation awards, including FQHC and workforce projectsGovernment · Michigan Department of Health and Human Services
Jul 10, 2026Michigan lists a conditional $1M rural transportation award under Care Closer to HomeGovernment · Michigan Department of Health and Human Services
Jul 9, 2026OHA announces about $97.1M for 136 additional rural-health projects; final grant totals remain conditionalGovernment · Oregon Health Authority
Jul 8, 2026Connecticut puts $7.17M of first-year RHTP funding into rural trail access and health-provider outreachGovernment · Office of Governor Ned Lamont / Connecticut DSS and DEEP
Jul 2, 2026RHT workforce forecast marks five procurements closed and a new sustainable-EMS initiative openSouth Dakota Department of Health
Jul 1, 2026Oklahoma publishes direct award details for its first Community-Led Wellness Hubs grantsGovernment · Oklahoma State Department of Health
Jun 24, 2026NCDHHS and NCDIT Launch Three RHTP-Funded Programs — a $20M-a-Year Rural Health Innovation Fund, HIE Expansion, and Digital Health NavigatorsGovernment · North Carolina Governor's Office / NCDHHS
Jun 23, 2026Children's Mercy wins Kansas's largest first-round RHTP grant ($6M) for AI-driven pediatric risk screening with Community Health Center of Southeast KansasNews · KCUR
Jun 23, 2026Nevada's first-budget-period RHT roster names Nevada Health Centers and NVPCA workforce projectsGovernment · Nevada Health Authority
Jun 18, 2026Iowa announces five cancer hubs, 58 workforce awardees, 42 equipment awardees, and an expanded GME programGovernment · Iowa Department of Health and Human Services
Jun 18, 2026Baker Institute: Texas Won the Largest Rural Health Transformation Award ($281M) but the Smallest Per-Capita Share ($66/Rural Resident)Baker Institute for Public Policy, Rice University
Jun 11, 2026Creighton dental school wins $4.6M Rural Health Transformation grant for rural rotations and ER-diversion safety-net dental careCreighton University
Jun 11, 2026CMS approves New Hampshire's first-year GO-NORTH spending budgetNews · New Hampshire Bulletin
Jun 10, 2026The $50B rural health fund is now real money with real deadlines: Florida June 17, Alaska June 22, Indiana July 1, Tennessee July 6-20 — and FQHCs must compete for every dollarAnalysis · FQHC Talent
Jun 9, 2026Nevada announces $36M first Rural Health Transformation round for one-time rural infrastructure needsGovernment · Office of Governor Joe Lombardo
Jun 5, 2026Lawmakers question disclosure and oversight of Mississippi's nearly $206M rural-health awardNews · Mississippi Today
May 29, 2026Kansas awards $79.1M to 39 RHTP recipients—and PrairieStar Health Center receives $1.99M for dental capacityGovernment · Kansas Department of Health and Environment
May 28, 2026Idaho's $186M rural health grants go live in June — but future rounds hinge on hitting federal outcome milestonesBoise State Public Radio
May 22, 2026Indiana's GROW page confirms a $206.93M federal award and plans $120M annually for regional grantsGovernment · Indiana FSSA / Grow Rural Indiana
May 21, 2026South Dakota awards three RHT program-management contracts; the announcement does not award provider subgrantsGovernment · South Dakota Department of Health
May 19, 2026Federal approval covers Wyoming's $205 million Year 1 plan; later funding depends on plan and performanceGovernment · Office of Wyoming Governor Mark Gordon
May 15, 2026Tennessee's first-year rural transformation award is $206,888,882.11, with an October 30 commitment targetGovernment · Tennessee Department of Health
May 8, 2026California Confirms $233.6M FY2026 Rural Health Transformation Allocation — First Concrete Tranche from $50B H.R. 1 FundCSAC / HCAI State Office of Rural Health
Apr 30, 2026California Awarded $233.6M Rural Health Transformation Funding for FFY26 — HCAI Implements Rural FQHC VisionGovernment · HCAI California State Office of Rural Health
Apr 28, 2026Mosaic Community Health expands adolescent SUD treatment across Central Oregon with Rural Health Transformation fundingMosaic Community Health
Apr 23, 2026Governor signs SB 570 to authorize use of West Virginia's first-year $199 million rural-health awardGovernment · West Virginia Office of the Governor
Apr 2, 2026Rhode Island details exact $156.17M Budget Period 1 rural award and five approved initiative amountsGovernment · Office of Governor Dan McKee
Apr 2, 2026SCDHHS opens one-time Rural Health Transformation grants under four initiatives, with applications due June 1Government · South Carolina Department of Health and Human Services
Mar 28, 2026California Awards $233.6M for Rural Health Transformation — Telehealth, Workforce Pipelines, Cybersecurity for Rural FQHCsGovernment · HCAI / CSAC
Mar 18, 2026Minnesota carves an explicit FQHC share out of its $193M rural transformation award — five centers, up to $1.9M each, no matchGovernment · Minnesota Department of Health
Mar 16, 2026Four GO-NORTH hub approvals distinguish initial terms from conditional multi-period ceilingsGovernment · New Hampshire Secretary of State, Governor and Executive Council
Feb 26, 2026CMS approves Georgia's $218.86M amended first-year GREAT Health budgetGovernment · Georgia Department of Community Health
Feb 13, 2026CMS budget approval made nearly $202M of Oklahoma's rural-health award accessibleNews · KGOU
Feb 10, 2026CMS approves Washington's revised $181.3M first-year Rural Health Transformation budgetGovernment · Washington State Health Care Authority
Feb 2, 2026Ohio's $202M rural award is much smaller than projected decade-long Medicaid lossesWOUB Public Media / Statehouse News Bureau
Jan 27, 2026North Dakota appropriated $397,873,940 for the first two RHTP years; it is spending authority, not another grantGovernment · North Dakota Legislative Council
Jan 22, 2026Utah's approved first-year RHTP budget assigns $29M to PATH, including two $2M care-integration linesGovernment · Utah Department of Health and Human Services / Utah State Legislature
Jan 22, 2026Utah's first-year RHTP budget organizes contractual spending across seven initiatives with federal use limitsGovernment · Utah Department of Health and Human Services / Utah State Legislature
Jan 20, 2026Georgia's accessible GREAT application shows 29 projects and a $218.862M Year 1 budget—not a final five-year $1.4B awardGovernment · Georgia Department of Community Health
Jan 13, 2026Montana's $233M first-year rural-health award was not preallocated among initiatives in JanuaryNews · Montana Free Press
Jan 6, 2026Hawai'i awarded $188.9M in first-year Rural Health Transformation funds for neighbor-island careGovernment · Office of Governor Josh Green, M.D.
Jan 5, 2026Virginia receives $189,544,888 for year one of the Rural Health Transformation ProgramGovernment · Virginia Rural Health Transformation
Jan 2, 2026Massachusetts receives a $162.0M first-year Rural Health Transformation awardGovernment · Office of Governor Maura Healey and Lt. Governor Kim Driscoll
Jan 2, 2026Missouri receives a $216.3M first-year Rural Health Transformation award for hubs, infrastructure and dataNews · KCUR
Dec 31, 2025Maryland receives $168M for the first year of a renewable five-year rural-health programGovernment · Maryland Department of Health
Dec 30, 2025Arkansas awarded $208.8 million in first-year Rural Health Transformation Program fundsGovernment · Office of the Governor of Arkansas
Dec 30, 2025Initial Rhode Island rural-award framework names FQHCs as clinical anchors across 18 rural townsGovernment · Governor of Rhode Island
Dec 30, 2025South Carolina receives a $200,030,252 first-year Rural Health Transformation awardGovernment · SCDHHS
Dec 30, 2025Vermont receives a $195M FY2026 Rural Health Transformation award for workforce, telehealth, mobile health and primary careNews · VTDigger
Dec 29, 2025CMS approves Alabama's Rural Health Transformation plan and unlocks $203,404,327 for year oneGovernment · Office of Governor Kay Ivey
Dec 29, 2025Alabama's approved rural-health plan spans 11 named initiatives across care delivery, workforce, EMS, and technologyGovernment · Office of the Governor of Alabama
Dec 29, 2025Colorado's rural-health award targets 800,000 residents across 52 counties and two federally recognized tribesGovernment · Colorado Department of Health Care Policy & Financing
Dec 29, 2025CMS awards Georgia $218.8M for the first year of GREAT HealthGovernment · Office of the Governor of Georgia
Dec 29, 2025Federal law excludes Guam from the $50B Rural Health Transformation ProgramGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025Kansas receives $221M first-year Rural Health Transformation award across five stated initiativesGovernment · Kansas Office of the Governor
Dec 29, 2025KDHE pins Kansas RHTP at $221,898,007.82 and publishes first-period reporting and spending datesGovernment · Kansas Department of Health and Environment
Dec 29, 2025CMS lists Louisiana's 2026 Rural Health Transformation award at $208,374,448Government · Centers for Medicare & Medicaid Services
Dec 29, 2025North Carolina awarded $213M in the first year of the federal Rural Health Transformation ProgramGovernment · Office of the Governor of North Carolina
Dec 29, 2025CMS awarded North Dakota $198,936,970 for FY2026 rural-health transformationGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025CMS announces a $204,016,550 first-year rural-health award for New HampshireGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025CMS awards New Jersey $147,250,806 for the first year of Rural Health TransformationGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025CMS confirms New Mexico's $211,484,741 FY2026 Rural Health Transformation awardGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025CMS awards Nevada $179,931,608 for fiscal-year 2026 Rural Health Transformation workGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025HHS TAGGS Shows Ohio's $202M Rural Health Transformation Award for Rural Access and Workforce CapacityGovernment · HHS TAGGS / Ohio Department of Health
Dec 29, 2025Oklahoma receives a $223.5M first-year Rural Health Transformation awardGovernment · Office of Governor J. Kevin Stitt
Dec 29, 2025CMS awards Oregon $197.27M for the first year of rural-health transformationGovernment · Oregon Health Authority
Dec 29, 2025CMS awards South Dakota $189,477,607 for FY2026, not a guaranteed five-year state totalGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025Utah's first Rural Health Transformation award is $195,743,566.29 and 100% federally fundedGovernment · Utah Department of Health and Human Services
Dec 29, 2025Utah's RHTP Notice of Award obligates $195.74M for budget period one; later periods are conditionalGovernment · Centers for Medicare & Medicaid Services
Dec 29, 2025West Virginia receives a $199 million first-year Rural Health Transformation award for 2026Government · West Virginia Office of the Governor
Dec 29, 2025Wyoming's initial CMS award notice restricted drawdown pending a detailed revised budgetGovernment · Centers for Medicare & Medicaid Services

Application windows

Open

Government · Utah Department of Health and Human Services

Sep 11, 2026

Utah opens two rural workforce competitions worth up to $30M and names FQHCs as eligible lead applicants, closing October 29

Utah's Office of Rural Health opened two Rural Health Transformation Program competitions under its RISE initiative on September 11, both due October 29, 2026 at 5:00 PM MDT.

UT Source

Foundation for Healthy Communities

Sep 2, 2026

GO-NORTH's primary-care money reaches the street: a $15.5M RFA names FQHCs first among eligible lead applicants, closing October 15

The Foundation for Healthy Communities, one of five GO-NORTH hubs, published its Rural Primary Care Access request for applications, posted as final and dated 09/02/2026.

NH Source

Government · Idaho Department of Health and Welfare

Sep 18, 2026

Idaho's $97 million rural health infrastructure subgrant lists federally qualified health centers among eligible awardees

Event: Aug 28

The Idaho Department of Health and Welfare said on August 28, 2026, that its $97 million Healthcare Infrastructure Support subgrant, part of the state's Rural Health Transformation Program, was accepting applications through September 13.

ID Source

Show 76 earlier updates

Aug 24, 2026Pennsylvania moves the $1.8M FQHC EHR and exchange window to Past OpportunitiesGovernment · Pennsylvania Department of Human Services
Aug 24, 2026Wisconsin's initial $40M rural-health grant windows are closed; awards and implementation are not establishedGovernment · Wisconsin DHS
Aug 24, 2026Wisconsin closes its $10M rural-dental technology window; a submitted application is not an awardGovernment · Wisconsin DHS
Aug 24, 2026Wisconsin's first rural-technology round is closed; up to $61M was limited to preidentified applicantsGovernment · Wisconsin Department of Health Services
Aug 20, 2026Maryland closes $18.5M rural-workforce windows and extends a separate data-clearinghouse bidGovernment · Maryland Department of Health
Aug 18, 2026Mississippi closes its Workforce Expansion and psychiatric-emergency/EmPATH application windowsMississippi Rural Health Transformation Program Office
Aug 16, 2026Washington extends three Rural Health Transformation application deadlines after eastern Washington wildfiresGovernment · Washington State Health Care Authority
Aug 14, 2026Louisiana's four first-year rural-transformation application windows closed by August 14Government · Louisiana Department of Health
Aug 12, 2026Montana opens a rural health workforce-retention RFI through August 31 to inform a future projectGovernment · Montana Department of Public Health and Human Services
Aug 12, 2026New York reviews 91 rural-integration applications covering 141 projects; awards remain pendingGovernment · New York State Department of Health
Aug 12, 2026Utah names FQHCs as eligible applicants in a $12.5M rural EMS grant round closing September 13Government · Utah Department of Health and Human Services
Aug 11, 2026Idaho posts five new Rural Health Transformation funding opportunitiesGovernment · Idaho Department of Health and Welfare
Aug 11, 2026TDH now lists five RHTP procurement tracks but no award, contract value, or deadline on its own pageGovernment · Tennessee Department of Health
Aug 11, 2026TDH's three displayed RHTP grant deadlines passed by August 6; the page does not announce awardsGovernment · Tennessee Department of Health
Aug 11, 2026FQHCs remain eligible for Tennessee RHTP sub-awards and statewide RAMP applications, with registration still a pre-award gateGovernment · Tennessee Department of Health
Aug 5, 2026Mississippi opens second round of $205.9M Rural Health Transformation Program as first round draws 727 applications for 8x the available money — no awards named yetMagnolia Tribune
Aug 4, 2026Maine's August 4 healthcare-career grant deadline marks a $500,000 rural workforce opportunityGovernment · Maine Department of Education
Aug 3, 2026Seven Arizona rural-health grant programs totaling $89.4M remained open on August 16, with deadlines through August 31Government · AHCCCS
Aug 3, 2026Colorado's $160M rural-health application round closed August 3; award decisions are not yet publishedGovernment · Colorado Department of Health Care Policy and Financing
Jul 30, 2026West Virginia announces about $14 million in rural remote-monitoring funding opportunitiesGovernment · West Virginia Office of the Governor
Jul 29, 2026NC's $1.25M rural school-health grant application window closed August 12; awards are not yet identified on the source pageGovernment · NCDHHS Office of Rural Health
Jul 24, 2026North Dakota opens roughly $5 million Technology as an Extender funding to eligible rural-serving FQHCsGovernment · North Dakota Health and Human Services
Jul 22, 2026Utah opens SHIFT 3.2 funding for integrated rural health provider networksGovernment · Utah Department of Health and Human Services
Jul 16, 2026Montana's $4M first-year rural EMS equipment grant window ended August 15Government · Montana Department of Public Health and Human Services
Jul 15, 2026Arkansas RHTP calendar: PACT is closed; RISE closes July 24 and HEART closes July 31Government · Arkansas Rural Health Transformation Program
Jul 15, 2026GROW requires one unified application per region and does not allow organizations to apply aloneGovernment · Indiana GROW Rural Health
Jul 15, 2026LDH reviews applications for a $5.63M Rural Clinician Credit Bank with rural FQHCs eligibleGovernment · Louisiana Department of Health
Jul 15, 2026Missouri publishes ToRCH hub operating manual as the Rural Health Transformation program moves into onboardingGovernment · Missouri Department of Social Services
Jul 15, 2026Vermont's rural-health portal lists four open opportunities with July and August 2026 deadlinesGovernment · Vermont Agency of Human Services
Jul 15, 2026Wyoming's integrated-primary-care RFA prioritizes FQHCs and Tribally operated 638 clinicsWyoming Department of Health
Jul 15, 2026Wyoming's live RHT portal closes applications August 2 and separates obligation from expenditure deadlinesWyoming Department of Health
Jul 13, 2026Idaho posts wave of Rural Health Transformation RFPs — facility renovation, cybersecurity, technology and data analytics — as maternal-child subgrants closeGovernment · Idaho Department of Health and Welfare
Jul 13, 2026Minnesota's current rural-transformation opportunities include an FQHC-eligible clinical fellowship due July 31Government · Minnesota Department of Health
Jul 13, 2026Oklahoma RHTP lists three live rural grant windows after a $223.48M CMS awardGovernment · Oklahoma State Department of Health
Jul 11, 2026Idaho broadens rural health funding eligibility beyond clinics and hospitals — libraries, schools and faith groups can now apply, with 20/15/10 spending capsNews · Lewiston Tribune
Jul 10, 2026Alabama opens Round 2 of its $203M Rural Health Transformation Program: five new funding opportunities with an August 7 deadlineGovernment · Alabama Department of Economic and Community Affairs
Jul 10, 2026Louisiana's $39.9M rural-facility capital window closed July 10 after offering FQHC awards up to $10MGovernment · Louisiana Department of Health
Jul 10, 2026Maine announces first RHTP provider funding: $30M for EMR modernization with FQHCs expected to be eligibleGovernment · Maine Department of Health and Human Services
Jul 10, 2026Utah opens the SPRINT consortium competition for up to $59.2M in year one and $291.8M over five years, contingent on fundingGovernment · Utah Department of Health and Human Services
Jul 10, 2026Utah's LIFT 5.1 telehealth competition offers up to $23.69M for projects serving rural countiesGovernment · Utah Department of Health and Human Services
Jul 7, 2026IDHW director sets the RHTP clock: first CMS report due Aug. 30; funds not awarded by Oct. 30 face possible federal reallocationNews · KMVT
Jul 7, 2026NM opens $47M Rural Health Innovation Fund; proposals due July 27Government · New Mexico Health Care Authority
Jul 7, 2026Utah's RISE 2.5 competition offers up to $20M in year one for rural recruitment and retentionGovernment · Utah Department of Health and Human Services
Jul 6, 2026Kentucky CHFS lists two open rural-transformation opportunities: dental-hygiene training due August 1 and CHW certificates due August 5Government · Kentucky Cabinet for Health and Family Services
Jul 6, 2026Nevada's first-cycle Rural Health Transformation application calendar closed its final listed window July 6Government · Nevada Health Authority
Jul 2, 2026Rural FQHCs can apply for approximately $500,000 in first-year EMR-enhancement funding by July 29Government · North Dakota Health and Human Services
Jul 2, 2026Rural Strong's $31.75 million first-year window is closed; the state schedules awards in quarter-three administrationSouth Dakota Department of Health
Jul 2, 2026Digital Health Modernization is closed at $89,343,733 for year one, with award administration scheduled for quarter threeSouth Dakota Department of Health
Jul 2, 2026Behavioral-health RHT work includes one open systems evaluation and one upcoming infrastructure grantSouth Dakota Department of Health
Jul 2, 2026PACT quality payments and population-health tools remain upcoming, not awardedSouth Dakota Department of Health
Jul 2, 2026July RHT forecast separates closed grant windows, open procurements, and upcoming programsSouth Dakota Department of Health
Jul 1, 2026The Rural Collaborative posts two consultant procurements under its Washington RHTP workstreamThe Rural Collaborative
Jul 1, 2026Wyoming opens Rural Health Transformation applications with a $205,004,742.95 Budget Period 1 awardGovernment · Wyoming Department of Health
Jun 29, 2026Louisiana's rural Medicaid APM offers $30M in Year 1; FQHC applications are due August 7Government · Louisiana Department of Health
Jun 26, 2026Alabama's $33.374M Rural Workforce Initiative closed June 26; award notices were planned about three to four weeks laterAlabama Rural Health Transformation Program
Jun 24, 2026Utah's FAST 4.1 value-based-care competition offers up to $6M in year one and $15M over five yearsGovernment · Utah Department of Health and Human Services
Jun 11, 2026CDFA opens the required eligibility step for GO-NORTH infrastructure grantsNew Hampshire Community Development Finance Authority
Jun 10, 2026The $50B rural health fund is now real money with real deadlines: Florida June 17, Alaska June 22, Indiana July 1, Tennessee July 6-20 — and FQHCs must compete for every dollarAnalysis · FQHC Talent
Jun 10, 2026Idaho posts its first three Rural Health Transformation opportunities totaling about $4.9M; year-one funds face an Oct. 30 award deadlineNews · Idaho Capital Sun / KMVT
Jun 10, 2026$9.5M Kansas Emerging Technology RFA explicitly includes FQHCs; Aug. 7 award date is tentativeGovernment · Kansas Department of Health and Environment
Jun 9, 2026Second RHTP round opens: $93.5M in PACT funding targets primary, specialty and behavioral health accessHallmark Times / Arkansas DFA
Jun 8, 2026Oklahoma's $2.8M RHTP behavioral-health integration round closed July 10Government · Oklahoma State Department of Health
Jun 7, 2026June 7 reporting documented 400-plus Alaska RHTP projects advancing toward the closed June 22 roundNews · Anchorage Daily News
Jun 3, 2026NM's $76.2M Healthy Horizons hub solicitation closed July 2Government · New Mexico Health Care Authority
May 29, 2026Rightsizing round closed with 41 applicants; applicant and future-implementation conditions are not award resultsGovernment · North Dakota Health and Human Services
May 27, 2026Louisiana's Rural Tech Catalyst Fund remains open to rural-health innovation partnershipsGovernment · Louisiana Economic Development
May 22, 2026Connecticut RHTP technology round makes FQHCs eligible for $100K–$1M annual awardsGovernment · Connecticut Office of Health Strategy
May 22, 2026Indiana's GROW page confirms a $206.93M federal award and plans $120M annually for regional grantsGovernment · Indiana FSSA / Grow Rural Indiana
May 21, 2026Alabama scheduled six May workshops before the first Rural Health Transformation funding roundGovernment · Office of the Governor of Alabama
May 15, 2026Missouri's ToRCH hub-anchor application closes; July-to-October onboarding is the next published stageGovernment · Missouri Department of Social Services
May 15, 2026West Virginia announces more than $62 million in Rural Health Transformation funding opportunitiesGovernment · West Virginia Office of the Governor
May 4, 2026Applications open for Arkansas's $209M FY26 Rural Health Transformation funds — FQHCs explicitly eligibleGovernment · Office of Governor Sarah Huckabee Sanders
Apr 30, 2026$15 million safety-net round expected about 50 awards; 88 applications were not award decisionsGovernment · North Dakota Health and Human Services
Apr 28, 2026West Virginia announces six first-tranche Rural Health Transformation opportunities totaling $28.56 millionGovernment · West Virginia Office of the Governor
Apr 2, 2026SCDHHS opens one-time Rural Health Transformation grants under four initiatives, with applications due June 1Government · South Carolina Department of Health and Human Services
Feb 9, 2026Delaware opens four initial Rural Health Transformation Program solicitationsGovernment · Office of Governor Matt Meyer / State of Delaware News

Rural hospital closure risk

Open

News · KCUR / Kansas News Service

Jun 22, 2026

June update counts 69 Kansas rural hospitals at risk and 28 at immediate risk, not the earlier 68/30 snapshot

Event: Jun 11

KCUR's June 11 report on the latest Center for Healthcare Quality and Payment Reform analysis says 69 of about 100 analyzed Kansas rural hospitals were at risk and 28 were at immediate risk, the highest immediate-risk count among states in that report.

KS Source

Community impact analysis

Apr 26, 2026

Sierra View Medical Center (Tulare County) at Significant Risk Under H.R. 1 Medicaid Cuts

Detailed community-impact analysis published April 25 names Sierra View Medical Center (Porterville, Tulare County) as at significant risk under H.R. 1 Medicaid cuts.

CA Family HealthCare Network Source

KJZZ

Jun 12, 2026

Public Citizen model flags eight Arizona hospitals as at risk of closure or reduced services

Event: Apr 21

KJZZ reports that Public Citizen classified eight Arizona hospitals as at risk using two years of net profit and the share of payer mix dependent on Medicaid and other government programs.

AZ Source

Show 10 earlier updates

Apr 10, 2026Tulare County Health Officials Warn of Hospital Closures from Medi-Cal Cuts — 61.8% Enrollment ExposureNews · Yahoo News / Tulare Reporting
Mar 25, 20261 in 5 California Hospitals at Risk of Closure — April 2023 Kaufman Hall Analysis (Still CHA's Baseline) Warns of Rural Care DesertsAssociation · CHA / Kaufman Hall
Feb 10, 2026Chartis models 24 Mississippi rural hospitals—42%—as vulnerable to closureIndustry · Chartis
Feb 10, 2026Chartis model classifies 27 Tennessee rural hospitals—61%—as vulnerable, not certain to closeIndustry · Chartis
Feb 4, 2026Maine hospitals 'teetering' as Medicaid cuts loom: ~40% losing money, 14 of 24 rural hospitals at closure riskNews · Portland Press Herald
Jan 15, 2026Iowa report lists 54 facilities with OB units and 43 OB-unit closures since 2000Legislature · Iowa Department of Health and Human Services / Iowa General Assembly
Oct 23, 2025St. Mary's consolidated Sacred Heart labor-and-delivery and Lavonia OB/GYN care into Athens in late October 2025St. Mary's Health Care System
Sep 16, 2025Financial model flags 13 of West Virginia's 33 rural hospitals as at risk; five are in the model's immediate-risk groupThe Dominion Post
Jul 1, 20252025 Senate-era list identified six Acadiana hospitals among more than 40 Louisiana facilities potentially affectedKADN News 15
Jun 17, 2025Pre-enactment study identified 35 Kentucky rural hospitals as financially vulnerable under then-proposed Medicaid cutsResearch · Kentucky Center for Economic Policy

Other updates on this issue

Government · Oklahoma State Department of Health

Aug 23, 2026

Oklahoma schedules public RHTP participation sessions and links the program to rural workforce pipelines

Oklahoma's RHTP page, last modified August 20, lists a public virtual touchpoint for August 24 from noon to 1 p.m. Central and an Atoka roadshow for August 25 from 2 to 3 p.m. Central.

OK Source

News · KFF Health News

Sep 16, 2026

States are putting Rural Health Transformation dollars into AI, and CMS says it has no AI-specific reporting requirements

Event: Aug 11

A KFF Health News review published August 11, 2026 found that states' plans for the $50 billion, five-year federal Rural Health Transformation Program include AI for medical charting, coding, referrals, and prior authorization requests…

AI in care: law, oversight and adoption Source

Government · Illinois Department of Healthcare and Family Services

Jun 7, 2026

HFS sets a $356,853.07 planning amount per reviewed rural-hospital application; funds still require notice and grant agreement

Event: Jul 24

HFS's July 24 stakeholder deck says that, after reviewing applications, it finalized each hospital's planning amount at $356,853.07 and instructed applicants to revise and resubmit spending plans.

IL Source

Show 26 earlier updates

Jul 15, 2026Montana's RHTP FAQ outlines five initiatives and says specific subaward decisions remain pendingGovernment · Montana Department of Public Health and Human Services
Jul 15, 2026South Dakota's RHT listening record identifies access, workforce, transportation, dental, behavioral-health, and technology needsGovernment · South Dakota Department of Health
Jul 14, 2026New Hampshire's rural-health windfall is smaller than its Medicaid loss — the state is projected to lose $2–3 billion over a decade, more than it will gainBusiness NH Magazine
Jul 10, 2026Ohio University receives $10M to lead a statewide rural-health workforce partnershipOhio University
Jul 8, 2026Two Executive Councilors begin rural-health listening tour at UNHManchester Ink Link
Jul 7, 2026Mississippi rural-health application drew 122 on-time survey responses and no public meetingNews · Mississippi Today
Jul 6, 2026Delaware launches statewide real-time insurance verification and prior authorizationGovernment · Delaware DHSS / State of Delaware News
Jun 17, 2026Executive Council approves $9.17M initial GO-NORTH evaluation term with a conditional $20.22M ceilingGovernment · New Hampshire Secretary of State, Governor and Executive Council
Jun 4, 2026TACHC Leaders Testify at Texas Capitol on Rural Health Transformation Funding and 340BLegislature · Texas Legislature Online
Jun 4, 2026Texas House Reviews HB 18, Rural Health Transformation, Telehealth, and Workforce in June 4 HearingLegislature · Texas Legislature Online
Jun 1, 2026Final Alaska RHTP framework publishes an eight-domain, 100-point project rubricGovernment · Alaska Department of Health
May 15, 2026The inaugural rural behavioral-health teleconsultation window closed June 15; outcomes are not yet publishedGovernment · Tennessee Department of Health
May 13, 2026Former Healthy Opportunities leaders pursue new social-care infrastructure through ROOTS hubs and philanthropyNews · NC Health News
May 1, 2026NCDHHS names five ROOTS Hub leads to steer North Carolina's $213M Rural Health Transformation rolloutGovernment · NCDHHS
Apr 29, 2026Maine's $220.3M federal-cuts response package died on adjournmentLegislature · Maine Legislature
Apr 29, 2026Reeves launches Rural Health Transformation Program office to steer Mississippi's $206M first-year awardGovernment · Office of Governor Tate Reeves
Apr 28, 2026Alaska reporting links RHTP's value-based-care priority to a provider-reported $7.6M first-year savings exampleAlaska Public Media
Apr 23, 2026Enacted FY2026-27 budget separates $125M rural capital, $20.5M RHC reimbursement, and $230M TennCare cost growthGovernment · Office of Tennessee Governor Bill Lee
Apr 7, 2026New LDH office leads rural-health implementation; advisory council guides statewide prioritiesGovernment · Louisiana Department of Health
Mar 11, 2026Nevada seats 15-member Rural Health Transformation Steering CommitteeGovernment · Office of Governor Joe Lombardo
Mar 6, 2026Missouri SFY 2026 supplemental adds $100M RHTP authority and funds H.R. 1 work-requirement technology buildAssociation · Missouri Hospital Association
Mar 6, 2026CMS spotlight labels North Dakota's workforce and utilization targets as proposed outcomesGovernment · Centers for Medicare & Medicaid Services
Mar 6, 2026Wyoming enacted HB 122 with reporting, approval, and repayment controls for RHT recipientsGovernment · Wyoming Legislature
Jan 27, 2026Special session enacted four policy commitments tied to North Dakota's RHTP applicationGovernment · North Dakota Legislative Council
Nov 12, 2025Delaware submits a 15-initiative rural-health application seeking up to $1 billionGovernment · Office of Governor Matt Meyer / State of Delaware News
Nov 5, 2025Wyoming's November 2025 RHT application was a proposal, not the final approved budgetGovernment · Wyoming Department of Health

Sources

Centers for Medicare & Medicaid Services (18)
South Dakota Department of Health (8)
Kansas Department of Health and Environment (KDHE) (6)
Louisiana Department of Health (6)
Tennessee Department of Health (6)
Utah Department of Health and Human Services (6)
Maryland Department of Health (5)
Montana Department of Public Health and Human Services (5)
West Virginia Office of the Governor (5)
Wyoming Department of Health (5)
Georgia Department of Community Health (4)
Idaho Department of Health and Welfare (4)
North Dakota Health and Human Services (4)
Oklahoma State Department of Health (4)
Alaska Department of Health (3)
Michigan Department of Health and Human Services (3)
Oregon Health Authority (3)
Pennsylvania Department of Human Services (3)
Chartis (2)
Georgia Department of Community Health — GREAT Health (2)
Iowa Department of Health and Human Services (2)
Mississippi Today (2)
Missouri Department of Social Services (MO HealthNet) (2)
Nevada Health Authority (2)
New Hampshire Bulletin (2)
New Hampshire Secretary of State, Governor and Executive Council (2)
New Mexico Health Care Authority (2)
North Dakota Legislative Council (2)
Office of Governor Joe Lombardo (2)
Office of Governor Matt Meyer / State of Delaware News (2)

and 123 more organizations

The $50 billion Rural Health Transformation Program

Where it stands

Analysis

The first rural health award lists name one health center

What to watch

What's next

What changed

What reaches health centers

CMS: nearly $23M in Delaware rural health transformation funding goes to the state's three federally qualified health centers

West Virginia's first rural health Provider Productivity Support Fund award, $500,000, goes to CHANGE, Inc., a federally qualified health center

State award announcements

Kansas awards $16.0M in rural Emerging Technology grants to 14 providers; exactly one is a health center

Vermont's $11.7M rural health round puts $9M into tuition benefits for rural service; no health center is named

Application windows

Utah opens two rural workforce competitions worth up to $30M and names FQHCs as eligible lead applicants, closing October 29

GO-NORTH's primary-care money reaches the street: a $15.5M RFA names FQHCs first among eligible lead applicants, closing October 15

Idaho's $97 million rural health infrastructure subgrant lists federally qualified health centers among eligible awardees

Rural hospital closure risk

June update counts 69 Kansas rural hospitals at risk and 28 at immediate risk, not the earlier 68/30 snapshot

Sierra View Medical Center (Tulare County) at Significant Risk Under H.R. 1 Medicaid Cuts

Public Citizen model flags eight Arizona hospitals as at risk of closure or reduced services

Other updates on this issue

Oklahoma schedules public RHTP participation sessions and links the program to rural workforce pipelines

States are putting Rural Health Transformation dollars into AI, and CMS says it has no AI-specific reporting requirements

HFS sets a $356,853.07 planning amount per reviewed rural-hospital application; funds still require notice and grant agreement

Where

Who

Sources

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