$6.2B
Verified active state-level procurement
38
States in IMPLEMENTING phase
259
Active state-level bids
648
Registered vendors tracked
$10B
Federal FY1 allocation (total)
Active bids by instrument type
259 state-level procurements open as of Early June 2026. Federal-to-state awards excluded — those funds are already obligated.
State phase distribution
38 of 50 states actively spending federal RHTP awards into the market.
Methodology: $6.2B figure reflects state-issued procurements only (41 states with active bids). Budget values that match ≥97% of a state's federal award total (placeholder values) are excluded. Several high-profile procurements — Vermont, Kentucky, Florida, Indiana — are active with contract values not yet publicly announced.
Top 15 verified-budget opportunities (Early June 2026)
Opportunities with explicitly stated award values — not state-total placeholders. Sorted by stated budget.
* Not all states disclose project-level budgets. Where the same dollar amount appears across multiple procurements within a state, it likely reflects the total HRSA award being applied as a placeholder — those entries are excluded. For single-procurement states shown here, the budget is assumed to represent the full award allocated to that initiative.
By active procurement count
Active opportunity count by theme — supply-demand gap analysis
Themes with high demand (active opps) but low vendor supply represent the highest-risk market gaps.
Program Evaluation: 6 opps, ~10 vendors
$263M in active evaluation contracts. Mississippi alone has a $206M statewide assessment open now. This is structurally the most underserved capability in the RHTP ecosystem.
EMS / Mobile Integrated Health: thin field
8 active opportunities worth $100M. Vermont's MIH RFP and Indiana's $207M MOCC are looking for vendors with real state-level EMS integration capability — not found at scale in the current registry.
Financial Sustainability: 16% vendor coverage
CAHs are going under. States are desperate for financial turnaround and revenue cycle expertise. Only 106 of 648 vendors claim this capability — and the demand side is far ahead.
Grant Writing: 2 vendors in the entire registry
Every rural FQHC and nonprofit submitting to complex RFAs needs help. Grant writing support is a white-space market hiding in plain sight — one of the lowest-competition, highest-demand opportunities in the ecosystem.
Second wave starting now
Montana, Alaska, Maine, NY, WA, and WI have achieved LAUNCHED status but not yet peak procurement velocity. Entry window: now. Building state relationships before peak velocity is the high-leverage strategy.
Program evaluation will explode
Multi-year awards entering year 2–3 trigger CMS outcome reporting requirements. Every state will need a contracted evaluator. This is a market that barely exists today and will be mandatory procurement.
Tribal health procurement opening
Minnesota's $193M tribal nations NOFO is the template. Montana, South Dakota, New Mexico, and Oklahoma all have tribal health explicitly in their strategic plans. A dedicated procurement channel is forming.
Technology standardization pressure
Vermont's 5-parallel-RFP cluster signals states want interoperable ecosystems — telehealth + care coordination + EHR + population health analytics. Integration capability is the new differentiator, not point solutions.