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AME Mobile (American Medical Ecosystem Mobile) works to broaden healthcare access and strengthen care delivery through mobile, connected, and technology-enabled solutions — with a focus on rural and underserved communities.

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Rural Care Journey

© 2026 AME Mobile · Rural Care Journey · Data updated daily from public sources

Rural Health Transformation Program data is sourced from state Flex Program offices and federal agencies. Accuracy is not guaranteed — verify with official sources before making programmatic decisions.

Home/Guides/Signal Report — July 2026
Rural Health Transformation Program · Market Intelligence

The Pipeline
Matures
Into July

July 2026 Signal Report July 3, 2026 · Rural Care Journey
Early-July Analysis
Coverage: All 50 states + federal
149
Active bids (approved, non-archived)
$2.2B
Verified procurement pipeline
42
States with active opportunities
36
Opportunities due ≤14 days
1,983
New documents (last 30 days)
01 Weekly Activity Trend
New opportunities posted per week — 8-week view
May's second surge peaked at 48 new opps/week (May 11). Six weeks of steady decline followed, bottoming at just 5 in the week of Jun 29 — the quietest week since March. States are moving from issuing bids to managing the ones already open.
02 Due Date Urgency
Deadline distribution — active opportunities
36 opportunities close within 14 days. A further 48 already show a deadline in the past but remain flagged active — verify status directly before applying.
Implementation phase — 51 states
41 states now in IMPLEMENTING. 9 have reached LAUNCHED and are scaling. 1 remains in PLANNING.
Data quality note: 48 of 149 tracked-active opportunities (32%) carry a stated deadline that has already passed — mostly small West Virginia AFA grants and a handful of larger RFAs awaiting status refresh. Portals lag their own deadlines by anywhere from a day to several weeks. Treat any listing within a few days of its due date as needing direct confirmation on the issuing site.
03 State Procurement Intensity
By active opportunity count
By verified budget ($M)
04 July Momentum Leaders
New opportunities posted — last 14 days
West Virginia leads with 13 new postings, though most are small AFA grant-in-aid notices rather than major RFAs. Tennessee added 7 as its second-wave RFP series continues to roll out.
05 Highest-Value Active Procurements
Top 15 verified-budget opportunities (July 3, 2026)
Sorted by stated budget. Iowa's twin hub-and-spoke RFPs and Florida's application-prep NOFO remain the largest single line items in the pipeline.
#OpportunityStateTypeBudgetDeadline
1Florida RHTP Application Preparation ResourcesFLNOFO$210M—
2Iowa Cardiovascular Health Hub and Spoke NetworksIARFP$209M—
3Iowa Maternal Health Hub and Spoke NetworksIARFP$209MSep 30
4Connecticut Rural Health Transformation ProgramCTGRANT$154M—
5GROW Regional Grants ProgramINRFA$120MJul 1 ⚡
6Healthcare Resiliency Program: Service Line Expansion & Co-LocationTNRFA$95MJul 13
7PACT — Promoting Access, Coordination & TransformationARNOFO$94MJul 10
8NY Rural Community Health Integration (RCHI)NYRFA$76MJul 9
9RHTP Specialty and Acute Care Bundle (Bundle Two)FLRFA$70MAug 1
10Colorado RHTP: Value-Based Care and Rural Workforce GrantsCORFA$63MAug 3
11Alabama Rural Health Transformation Program: Rural Health InitiativeALNOFO$61MJun 26 ⚡
12Preventive Care & Care-at-Home (Bundle One)FLRFA$61MAug 1
13Rural Health Innovation FundNMRFP$40M—
14Colorado RHTP: Whole Person Health and Alternative Care ModelsCORFA$40MAug 3
15Alabama RHTP Collaborative EHR, IT, and Cybersecurity InitiativeALNOFO$32MJun 26 ⚡

⚡ Deadline already passed as of this report — confirm status directly with the issuing agency. Table shows RFA/RFP/NOFO/GRANT opportunities only. GUIDANCE and informational records are excluded.

06 July Signal Insights
West Virginia's Grant-Mill Cadence
West Virginia posted 13 new opportunities in the last 14 days — more than any other state — but nearly all are small Agreement for Funding Award (AFA) notices ($0–$24M) rather than major competitive RFAs. This is a fundamentally different procurement rhythm than Iowa's or Vermont's large parallel RFPs: high frequency, low individual value.
West Virginia state tracker →
Iowa's Twin Hub-and-Spoke RFPs Still Live
Iowa's Cardiovascular Health and Maternal Health hub-and-spoke network RFPs ($209M each) remain the largest actively-open procurements in the pipeline outside application-prep guidance. Both are structured as regional hub networks rather than single-site awards — a model other states have not yet replicated.
Iowa state tracker →
Tennessee's Second Wave
Tennessee has six parallel RFPs — a care coordination information system, a call center, an eConsult platform, an innovation catalyst, a non-emergency transportation contract, and a memory care network — all releasing or due in the same July 6–20 window, with budgets not yet disclosed. This mirrors Vermont's simultaneous-cluster strategy from earlier this year.
Tennessee state tracker →
Six Weeks of Continuous Cooling
Weekly new postings have fallen every week since the May 11 peak of 48, down to just 5 in the week of June 29. This is the longest sustained decline since tracking began — consistent with states finishing their first competitive round rather than the market losing momentum. Expect a second-wave uptick as more states complete assessment phases and move to implementation-stage RFPs.
© 2026 Rural Care Journey · rhtp.amemobile.net
Data current as of July 3, 2026
149 active opportunities across 42 states