The Texas Rural Health Transformation Program, operating as 'Rural Texas Strong,' is currently in the application and review stage with CMS, focusing on six primary initiatives: health improvement, patient engagement, telehealth, workforce support, care infrastructure, and capital investments. The program's implementation is being shaped through competitive processes, regional input, and stakeholder engagement, with a major emphasis on improving access, workforce capacity, digital infrastructure, and hospital equipment in rural areas. Award processes and deployment are contingent on federal approval, with procurement integrity actively maintained. Current structured plan tracks 6 key initiatives and 6 strategic goals.
County-level estimates averaged across Texas — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
20.7%
+9.3pp
Uninsured (18–64)
13.6%
+1.2pp
Diabetes
37.6%
+0.1pp
Obesity
14.9%
-1.2pp
Current smoking
35.6%
-0.5pp
High blood pressure
30.8%
+3.1pp
Physical inactivity
6.7%
-0.2pp
Heart disease
3.6%
-0.1pp
Stroke
pp = percentage points vs US county average
County Drilldown (254)
County
Pop
Poverty
Uninsured
Harris County
4,838,303
16.3%
13.1%
Dallas County
2,621,179
13.9%
10.8%
Tarrant County
2,167,390
11.1%
8.2%
Bexar County
2,067,341
14.6%
11.2%
Travis County
1,330,015
10.9%
7.1%
Collin County
1,163,337
6.2%
4.7%
Denton County
979,561
7.1%
4.4%
Fort Bend County
893,767
7.6%
6.5%
Hidalgo County
891,977
26.7%
23.3%
El Paso County
870,779
18.7%
16.3%
Montgomery County
684,432
9.4%
7.3%
Williamson County
672,688
6.4%
4.4%
Demographics
Total population
30.2MCensus ACS5 2024
Rural population
2.9MUSDA ERS RUCC 2023
Rural population %
9.9%USDA ERS RUCC 2023
Poverty rate
13.8%Census ACS5 2024
Median household income
$78,476Census ACS5 2024
Uninsured rate
10.5%Census ACS5 2024
CAH count
91HRSA GIS (live)
Rural hospital facilities
0AI extracted
Primary care HPSA
230HRSA Data Warehouse (GIS)
Dental HPSA
118HRSA Data Warehouse (GIS)
Mental health HPSA
228HRSA Data Warehouse (GIS)
MUA count
189HRSA Data Warehouse (GIS)
MUP count
23HRSA Data Warehouse (GIS)
FQHC facilities
725HRSA Data Warehouse (GIS)
RHC facilities
379HRSA Data Warehouse (GIS)
AI source: TX - 2026 - The Texas Health and Human Services Commission (HHSC), the System Agency, is accepting applications for the State Fiscal Year 2026 Pediatric Tele-Connectivity Resource Program for Rural Texas Grant Program.
AI auto-updated Jun 4, 2026
API refreshed May 7, 2026
RHTP Strategic Goals
1Improve rural health outcomes and reduce chronic disease
2Empower rural patients and enhance access to care through technology
3Expand and strengthen the rural health workforce
4Modernize and safeguard rural healthcare infrastructure
5Advance telehealth and AI adoption for rural care delivery
Texas HHSC has received CMS approval for Budget Period 1, including the project narrative and budget as of April 7, 2026. The state is actively preparing procurement opportunities for the Rural Health Transformation Program but has not yet opened applications to local providers or issued public notices. Public engagement processes are in place to ensure fairness ahead of upcoming procurements. No state-level RFAs, RFPs, or grants are open as of June 2026. State opportunities: 4 active (4 closing soon, 2 past/closed), $762.5M listed funding. Key opportunities: Rural Texas Strong Program – Initiative 4: The Next Generation of the Small Town Doctor and Team; The Rural Texas Strong Program – Initiative 1 (Part 2): Make Rural Texans Healthy Again; The Rural Texas Strong Program – Initiative 6 (Part 1): Infrastructure and Capital Investments for Rural Texas. Strategy alignment: supports workforce, prevention, care access priorities.
RHTP Strategy
Texas is implementing the 'Rural Texas Strong' strategy under RHTP, led by HHSC and funded by annual federal awards (~$281M/year FY2026–FY2030). The approach is built on six coordinated initiatives: chronic disease prevention, patient-centered technology, advanced telehealth and AI, rural workforce investment, infrastructure and cybersecurity upgrades, and capital support for rural facilities. Competitive grants, procurement rigor, and ongoing oversight anchor implementation. Milestones align with CMS approval, application deadlines, and annual funding cycles.
Model
Multi-pronged, state-administered model leveraging Texas HHSC leadership to deliver six strategic initiatives—technology, patient engagement, AI/telehealth, workforce, unified infrastructure and cybersecurity, capital investments—distributed via Rural Texas Strong and federal RHTP cycles.
Key Initiatives
1Competitive grants for chronic disease prevention, wellness, and nutrition services in rural communities
2Consumer-facing health technology platforms to support patient engagement and self-management
3Deployment of advanced AI-enabled telehealth systems to bridge rural care gaps
4Rural healthcare workforce recruitment, training, scholarships, and retention programs
5Unified care infrastructure upgrades and cybersecurity enhancements for rural facilities
6Targeted infrastructure and capital investments in rural hospitals and clinics to modernize care delivery
Timeline: CMS Notice of Award (December 29, 2025); Texas application submitted (November 3, 2025); Budget Period 1 approval (April 7, 2026); Annual funding FY2026–FY2030.
Health Priority
Chronic disease prevention: Focus on reducing chronic disease through prevention, wellness, and nutrition initiatives based on public input. (Regions: rural Texas)
Jun 5, 2026
Health Priority
Access to care: Plans to expand access via telehealth, AI, and upgraded equipment to bridge service gaps in rural communities. (Regions: rural Texas)
Jun 5, 2026
Health Priority
Workforce development: Initiatives to recruit, retain, and train rural health care workers through scholarships and relocation assistance. (Regions: rural Texas)
State procurement contracts classified as RHTP implementation evidence
Department of State Health Services (DSHS) AMBUS IAC – EMS DEVELOPMENT (RHTP TX Award FY2026)
Department of State Health Services (DSHS) AMBUS IACTexas Health & Human ServicesCaptured May 31, 2026$20.0M
DSHS AMBUS IAC – EMS DEVELOPMENT (RHTP TX Award FY2026)
DSHS AMBUS IACTexas Health & Human ServicesCaptured May 31, 2026$20.0M
Community First Health Plan STAR+PLUS (Bexar) – FINANCE (RHTP TX Award FY2025)
Community First Health Plan STAR+PLUS (Bexar)Texas Health & Human ServicesCaptured May 31, 2026$8.3M
UnitedHealthCare Community Plan – FINANCE (RHTP TX Award FY2025)
UnitedHealthCare Community PlanTexas Health & Human ServicesCaptured May 31, 2026$8.2M
Superior Health Plan – FINANCE (RHTP TX Award FY2025)
Superior Health PlanTexas Health & Human ServicesCaptured May 31, 2026$4.0M
Community First Health Plan – FINANCE (RHTP TX Award FY2025)
Community First Health PlanTexas Health & Human ServicesCaptured May 31, 2026$3.4M
Baylor College of Medicine – PCS Grant Award (TX HHSC Subgrant)HHS001535800008
Baylor College of MedicineTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$2.3MSource available
United Way of Metropolitan Dallas – PCS Grant Award (TX HHSC Subgrant)HHS001535800001
United Way of Metropolitan DallasTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$2.3MSource available
United Way of San Antonio and Bexar County – PCS Grant Award (TX HHSC Subgrant)HHS001535800007
United Way of San Antonio and Bexar CountyTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$2.3MSource available
DePelchin Children's Center – PCS Grant Award (TX HHSC Subgrant)HHS001535800011
DePelchin Children's CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$2.1MSource available
Presbyterian Children's Homes and Services – PCS Grant Award (TX HHSC Subgrant)HHS001535800014
Presbyterian Children's Homes and ServicesTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$2.1MSource available
BCFS Health and Human Services – PCS Grant Award (TX HHSC Subgrant)HHS001535800002
BCFS Health and Human ServicesTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$2.0MSource available
El Paso Center for Children, Inc. – PCS Grant Award (TX HHSC Subgrant)HHS001535800003
El Paso Center for Children, Inc.Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.9MSource available
Deloitte LLP – HEALTH INFORMATION TECHNOLOGY (RHTP TX Award FY2026)
Deloitte LLPTexas Health & Human ServicesCaptured May 31, 2026$1.8M
Unity Partners dba Project Unity – PCS Grant Award (TX HHSC Subgrant)HHS001535800015
Unity Partners dba Project UnityTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.7MSource available
Easter Seals Rio Grande Valley – PCS Grant Award (TX HHSC Subgrant)HHS001535800004
Easter Seals Rio Grande ValleyTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.6MSource available
Serving Children and Adolescents in Need, Inc. – PCS Grant Award (TX HHSC Subgrant)HHS001535800018
Serving Children and Adolescents in Need, Inc.Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.3MSource available
Any Baby Can of Austin, Inc. – PCS Grant Award (TX HHSC Subgrant)HHS001535800023
Any Baby Can of Austin, Inc.Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.3MSource available
My Health My Resources of Tarrant County dba MHMR of Tarrant County – PCS Grant Award (TX HHSC Subgrant)HHS001535800022
My Health My Resources of Tarrant County dba MHMR of Tarrant CountyTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.3MSource available
My Health My Resources of Tarrant County dba MHMR of Tarrant County – PCS Grant Award (TX HHSC Subgrant)HHS001535800025
My Health My Resources of Tarrant County dba MHMR of Tarrant CountyTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.3MSource available
BCFS Health and Human Services – PCS Grant Award (TX HHSC Subgrant)HHS001535800006
BCFS Health and Human ServicesTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$1.2MSource available
Superior Health Plan STAR+PLUS (Lubbock) – FINANCE (RHTP TX Award FY2025)
Superior Health Plan STAR+PLUS (Lubbock)Texas Health & Human ServicesCaptured May 31, 2026$1.2M
Bastrop County Cares – PCS Grant Award (TX HHSC Subgrant)HHS001535800021
Bastrop County CaresTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$974KSource available
BCFS Health and Human Services – PCS Grant Award (TX HHSC Subgrant)HHS001535800005
BCFS Health and Human ServicesTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$910KSource available
Northwest Independent School District – PCS Grant Award (TX HHSC Subgrant)HHS001535800009
Northwest Independent School DistrictTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$910KSource available
Education Service Center Region 2 – PCS Grant Award (TX HHSC Subgrant)HHS001535800010
Education Service Center Region 2Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$714KSource available
Motivation, Education, and Training – PCS Grant Award (TX HHSC Subgrant)HHS001535800012
Motivation, Education, and TrainingTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$714KSource available
Parenting Cottage, Inc. – PCS Grant Award (TX HHSC Subgrant)HHS001535800013
Parenting Cottage, Inc.Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$709KSource available
UnitedHealthCare Community Plan STAR+PLUS (Dallas) – FINANCE (RHTP TX Award FY2025)
UnitedHealthCare Community Plan STAR+PLUS (Dallas)Texas Health & Human ServicesCaptured May 31, 2026$677K
Serving Children and Adolescents in Need, Inc. – PCS Grant Award (TX HHSC Subgrant)HHS001535800017
Serving Children and Adolescents in Need, Inc.Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$662KSource available
Parents as Teachers of Rural South-Central Texas – PCS Grant Award (TX HHSC Subgrant)HHS001535800027
Parents as Teachers of Rural South-Central TexasTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$584KSource available
Family Abuse Center – PCS Grant Award (TX HHSC Subgrant)HHS001535800020
Family Abuse CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$541KSource available
AWARE Central Texas – PCS Grant Award (TX HHSC Subgrant)HHS001535800024
AWARE Central TexasTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$400KSource available
United Way of the Coastal Bend – PCS Grant Award (TX HHSC Subgrant)HHS001535800019
United Way of the Coastal BendTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$363KSource available
Baylor Scott & White Medical Center – Brenham – Rural Hospital PCS Grant (TX HHSC)HHS001567700001
Baylor Scott & White Medical Center – BrenhamTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Comanche County Consolidated Hospital District dba Comanche County EMS – Rural Hospital PCS Grant (TX HHSC)HHS001567700004
Comanche County Consolidated Hospital District dba Comanche County EMSTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Concho County Hospital District – Rural Hospital PCS Grant (TX HHSC)HHS001567700005
Concho County Hospital DistrictTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Crockett Medical Center, LLC – Rural Hospital PCS Grant (TX HHSC)HHS001567700006
Crockett Medical Center, LLCTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Dimmit Regional Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700007
Dimmit Regional HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
El Campo Memorial Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700008
El Campo Memorial HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Electra Memorial Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700033
Electra Memorial HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Fairfield Hospital District dba Freestone Medical Center – Rural Hospital PCS Grant (TX HHSC)HHS001567700010
Fairfield Hospital District dba Freestone Medical CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Falls Community Hospital and Clinic, Inc. – Rural Hospital PCS Grant (TX HHSC)HHS001567700009
Falls Community Hospital and Clinic, Inc.Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Frio Hospital Association – Rural Hospital PCS Grant (TX HHSC)HHS001567700011
Frio Hospital AssociationTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Hansford County Hospital District – Rural Hospital PCS Grant (TX HHSC)HHS001567700013
Hansford County Hospital DistrictTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Knox County Hospital District – Rural Hospital PCS Grant (TX HHSC)HHS001567700014
Knox County Hospital DistrictTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Lavaca Hospital District dba Lavaca Medical Center – Rural Hospital PCS Grant (TX HHSC)HHS001567700015
Lavaca Hospital District dba Lavaca Medical CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Llano Regional Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700016
Llano Regional HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Lynn County Hospital District dba Lynn County Health Care System – Rural Hospital PCS Grant (TX HHSC)HHS001567700017
Lynn County Hospital District dba Lynn County Health Care SystemTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Medina County Hospital District dba Medina Healthcare System – Rural Hospital PCS Grant (TX HHSC)HHS001567700018
Medina County Hospital District dba Medina Healthcare SystemTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Mid Coast Medical Center – Bellville – Rural Hospital PCS Grant (TX HHSC)HHS001567700019
Mid Coast Medical Center – BellvilleTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Mitchell County Hospital District – Rural Hospital PCS Grant (TX HHSC)HHS001567700020
Mitchell County Hospital DistrictTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Nolan County Hospital District dba Rolling Plains Memorial Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700032
Nolan County Hospital District dba Rolling Plains Memorial HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Parmer County Community Hospital dba Parmer Medical Center – Rural Hospital PCS Grant (TX HHSC)HHS001567700021
Parmer County Community Hospital dba Parmer Medical CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Preferred Hospital Leasing Coleman, Inc. dba Coleman County Medical Center – Rural Hospital PCS Grant (TX HHSC)HHS001567700022
Preferred Hospital Leasing Coleman, Inc. dba Coleman County Medical CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Preferred Hospital Leasing Eldorado, Inc. dba Schleicher County Medical Center – Rural Hospital PCS Grant (TX HHSC)HHS001567700023
Preferred Hospital Leasing Eldorado, Inc. dba Schleicher County Medical CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Preferred Hospital Leasing Hemphill, Inc. dba Sabine County Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700024
Preferred Hospital Leasing Hemphill, Inc. dba Sabine County HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Preferred Hospital Leasing Inc. dba Collingsworth General Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700025
Preferred Hospital Leasing Inc. dba Collingsworth General HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Preferred Hospital Leasing Junction, Inc. dba Kimble Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700026
Preferred Hospital Leasing Junction, Inc. dba Kimble HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Preferred Hospital Leasing Shamrock, Inc. dba Shamrock General Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700027
Preferred Hospital Leasing Shamrock, Inc. dba Shamrock General HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Preferred Hospital Leasing Van Horn, Inc. dba Culberson Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700028
Preferred Hospital Leasing Van Horn, Inc. dba Culberson HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Scurry County Hospital District dba Cogdell Memorial Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700003
Scurry County Hospital District dba Cogdell Memorial HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Somervell County Hospital District dba Glen Rose Medical Center – Rural Hospital PCS Grant (TX HHSC)HHS001567700012
Somervell County Hospital District dba Glen Rose Medical CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
St. Joseph Region Health Center dba CHI St. Joseph Grimes Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700002
St. Joseph Region Health Center dba CHI St. Joseph Grimes HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Stephens Memorial Hospital District dba Stephens Memorial Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700029
Stephens Memorial Hospital District dba Stephens Memorial HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Stonewall County Hospital District dba Stonewall Memorial Hospital – Rural Hospital PCS Grant (TX HHSC)HHS001567700030
Stonewall County Hospital District dba Stonewall Memorial HospitalTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
Titus County Hospital District dba Titus Regional Medical Center – Rural Hospital PCS Grant (TX HHSC)HHS001567700031
Titus County Hospital District dba Titus Regional Medical CenterTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$350KSource available
SJRC Texas, Inc. – PCS Grant Award (TX HHSC Subgrant)HHS001535800026
SJRC Texas, Inc.Texas Health and Human Services Commission (HHSC)Captured May 26, 2026$329KSource available
Bexar County – PCS Grant Award (TX HHSC Subgrant)HHS001535800016
Bexar CountyTexas Health and Human Services Commission (HHSC)Captured May 26, 2026$325KSource available
Department of State Health Services Community Health Workers Program – POPULATION HEALTH (RHTP TX Award FY2026)
Department of State Health Services Community Health Workers ProgramTexas Health & Human ServicesCaptured May 31, 2026$304K
Wellpoint – FINANCE (RHTP TX Award FY2025)
WellpointTexas Health & Human ServicesCaptured May 31, 2026$290K
DSHS Behavioral Risk Factor Surveillance System (BRFSS) Survey Tool/Oversampling IAC – POPULATION HEALTH (RHTP TX Award FY2026)
DSHS Behavioral Risk Factor Surveillance System (BRFSS) Survey Tool/Oversampling IACTexas Health & Human ServicesCaptured May 31, 2026$116K
DSHS BRFSS Survey Tool Oversampling IAC – POPULATION HEALTH (RHTP TX Award FY2026)
DSHS BRFSS Survey Tool Oversampling IACTexas Health & Human ServicesCaptured May 31, 2026$116K
Announcement Documents (1)
✉️
AnnouncementMay 20, 2026TXT2026
Texas is accepting applications for multiple RHTP ('Rural Texas Strong') grant initiatives supporting rural hospitals, providers, infrastructure, and workforce. Multiple deadlines in May and June 2026 apply to different initiatives and eligible rural entities. This announcement provides application instructions and directs interested organizations to register and apply online. Key contacts: Victoria Grady victoria.grady@hhs.texas.gov
Event schedule:
- Initiative 1, Part 1 application deadline - 05/22/2026
- Initiative 4 application deadline - 05/27/2026
- Initiative 6 application deadline - 06/01/2026
- Initiative 1, Part 2 application deadline - 06/04/2026
QUALITY_IMPROVEMENT · WORKFORCE · EMS_DEVELOPMENT · POPULATION_HEALTH · OTHER
Contacts
Victoria Grady - <victoria.grady@hhs.texas.gov> - Agency sponsor for grant registration - Texas (statewide)
Core Initiatives
Improve rural health outcomes across Texas
Support critical rural health workforce pipelines
Invest in infrastructure and capital for rural providers
Show all initiatives (4)
Improve rural health outcomes across Texas
Support critical rural health workforce pipelines
Invest in infrastructure and capital for rural providers
Increase access to high-quality care for rural populations
Award Announcement Documents (3)
📄
Award AnnouncementMay 21, 2026PDF
This document contains multiple award amounts for Texas-based organizations under the HHSC PCS Grant program, indicating funding distribution to support health and social services across various communities in Texas.
OTHER
📄
Award AnnouncementMay 21, 2026PDFFederal
Texas HHSC awarded $350,000 each to multiple rural hospitals and health centers under the PCS Grant Awards program, totaling $12,250,000. The awards support rural hospital quality improvement and capacity building efforts.
Award: $12.3MQUALITY_IMPROVEMENT
📄
Award AnnouncementApr 15, 2026PDF2026-2030FederalOpportunity ↗
Application Documents (30)
🌐
ApplicationNEWJun 4, 2026HTML2026
Texas HHSC is soliciting applications for the SFY 2026 Pediatric Tele-Connectivity Resource Program to connect rural hospitals and clinics with pediatric specialists and Texas Child Mental Health Care Consortium members via telemedicine. The grant will fund telemedicine services enhancing access to pediatric care in rural Texas.
Event schedule:
- Release Date - June 3, 2026 - CT
- Submission Deadline - July 13, 2026 - 10:30 AM CT
Improve access to pediatric specialty care in rural Texas
Enhance telemedicine connectivity for rural hospitals and clinics
📝
ApplicationNEWMay 31, 2026DOCX
This document is the required Face Page for applicants to the Texas RHTP and HHSC programs. It collects identifying information, funding request, projected expenditures, and compliance signatures for grant applicants. Strict instructions are provided to ensure compliance with eligibility and reporting requirements.
Texas Health and Human Services Commission is soliciting applications for Rural Texas Strong Initiative 1, Part 2, which focuses on improving health for rural Texans. Applicants must complete the registration and application process before the June 4 deadline. The initiative aims to support and strengthen rural health efforts across Texas. Key contacts: Victoria Grady victoria.grady@hhs.texas.gov; RuralTexasStrong@HHS.Texas.Gov
Event schedule:
- Application Due Date - 06/04/2024 - 10:30 AM CT - Online (HHS Grants Portal)
POPULATION_HEALTH · OTHER
Contacts
Victoria Grady - <victoria.grady@hhs.texas.gov> - Agency Sponsor - Statewide
<RuralTexasStrong@HHS.Texas.Gov> - Program Contact - Statewide
The program offers funding to eligible rural healthcare providers focusing on recruitment, training, and retention of healthcare professionals in rural areas. It supports building local education and training pipelines and developing retention strategies to strengthen healthcare in small Texas towns. Key contacts: Alexis Jimerson spppcs@hhs.texas.gov
Event schedule:
- Release Date - April 27, 2026
- Submission Deadline - May 27, 2026 - 10:30 AM CDT
This CMS summary covers multiple state applications to the Rural Health Transformation Program for FY26, with each describing targeted strategies to expand rural care access, workforce, telehealth, care coordination, preventative health, and digital infrastructure. Award amounts for individual states are proposed (e.g., Alabama $203M, Arizona $167M, California $234M), but no specific sub-recipient or hospital awards are named here. All examples are presented at the state strategic plan level, focused on overcoming rural barriers and improving population health.
Core Initiatives
Make Rural America Healthy Again
Reduce maternal and infant mortality
Strengthen rural health workforce
Show all initiatives (41)
Make Rural America Healthy Again
Reduce maternal and infant mortality
Strengthen rural health workforce
Expand rural emergency and specialty care
Increase technology and telehealth adoption
Advance value-based/referral models
Improve rural behavioral health capacity
Reduce rural hospital closures and stabilize facilities
Empower rural residents to achieve healthy living goals through expanded population health solutions
Expand supply of care by growing rural workforce and spreading technologies to connect communities
Ensure care availability and affordability long-term through quality, efficiency, and fiscal durability strategies
Transform rural health workforce with apprenticeships, improved IT, and pipeline programs
Promote sustainable access and innovative care through expanded capacity for primary, specialty, school-based, and behavioral health
Advance population health through improved clinical infrastructure and coordination
Strengthen rural health systems with integrated, community-driven solutions
Improve access to primary and specialty care by establishing collaborative networks
Build statewide rural health care networks and value-based payment models
Strengthen healthcare workforce and financial solvency for rural providers
Address health challenges through workforce development, technology upgrades, and care coordination
Data Documents (12)
📊
DataMay 21, 2026XLSX
Award: $10.9MOTHER
📊
DataMay 21, 2026XLSX
Budget: $7.2MOTHER
📊
DataMay 21, 2026XLSX
Budget: $1.9MOTHER
Reference Documents (19)
📄
ReferenceNEWJun 3, 2026PDFEvent2025
Texas is applying for RHTP funding with an ambitious, multi-initiative plan focusing on chronic disease prevention, rural workforce strengthening, technology, and healthcare infrastructure. Over 4.3 million rural Texans stand to benefit. The state engaged over 300 public stakeholders and will ensure funding reaches all 8 public health regions through scalable initiatives. Key contacts: Trey Wood Trey.Wood@hhs.texas.gov
Event schedule:
- Public Input Period End - 09/09/2025 - Online
- Regional Stakeholder Meetings - October 2025 - Various
- Statewide Public Hearing - 10/13/2025 - Texas (exact venue not stated)
This document presents a regional breakdown of funding allocations by strategy and populations served for Texas regions under an RFA. It provides funding amounts and population counts across multiple Texas regions.
OTHER
📄
ReferenceNEWMay 31, 2026PDF
This document provides regional funding allocations for Texas under three strategies with population and county coverage details. It shows breakdowns for eight regions of Texas, detailing funding amounts and assistance types.
QUALITY_IMPROVEMENT · NETWORK_DEVELOPMENT · POPULATION_HEALTH · OTHER
The program includes funding opportunities targeting infrastructure and capital investments as well as tele-health resources for pediatric care in rural Texas. Key initiatives are announced with clear application deadlines and procurement numbers for streamlined grant management.
Event schedule:
- Release of Rural Texas Strong Program – Initiative 4 - 04/27/2026
- Submission Deadline for Initiative 4 - 06/09/2026
- Release of Rural Texas Strong Program – Initiative 6 (Part 1) - 04/30/2026
- Submission Deadline for Initiative 6 (Part 1) - 06/10/2026
- Release of Pediatric Tele-Connectivity Resource Program - 06/03/2026
- Submission Deadline for Pediatric Tele-Connectivity Program - 07/13/2026
Uncategorized Documents (1)
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OtherApr 23, 2026HTML
The Texas Health and Human Services Commission (HHSC) is seeking federal funding to reduce chronic disease through prevention and wellness grants, invest in consumer-facing technology, deploy AI and telehealth services, recruit and retain rural health workers, improve cybersecurity, and upgrade rural hospital equipment. Over 300 written comments and regional meetings informed the development of the application titled 'Rural Texas Strong: Supporting Health and Wellness.' The state will use a competitive process to award funds to benefit rural Texans.
Core Initiatives
Reduce chronic disease through prevention, wellness, and nutrition
Expand access to health care via technology including AI and telehealth
Recruit and retain rural health care workers
Show all initiatives (5)
Reduce chronic disease through prevention, wellness, and nutrition
Expand access to health care via technology including AI and telehealth
TX - 2026 - Texas Thank You For Joining The Applicant Conference RHTP 2026 Meeting Agenda
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SupportingPDF2025-2030Award: $281.3M
TX - 2025 - Texas Summary Federal Award Financial Information RHTP Award Announcement
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Texas is awarded $1.4 billion over five years for the Rural Texas Strong program under the federal Rural Health Transformation Program. Six major initiatives will address prevention/wellness, health IT, telehealth, workforce, cybersecurity, and infrastructure for rural healthcare providers. Implementation activities will run from 2026 through 2031, with funds distributed to rural health entities statewide through various procurement and grant processes.
Make rural America healthy again by promoting preventive health and addressing root causes of diseases
Ensure sustainable rural provider access through efficiency and sustainability improvements
Support workforce development for rural health recruitment and retention
Show all initiatives (5)
Make rural America healthy again by promoting preventive health and addressing root causes of diseases
Ensure sustainable rural provider access through efficiency and sustainability improvements
Support workforce development for rural health recruitment and retention
Provide innovative care through new models to improve outcomes and flexibility
Promote technology innovation for efficient care, data security, and digital health access
Texas Health and Human Services Commission will award up to $9M in FY25 to rural mental health providers. Grants will establish or expand behavioral health centers and jail diversion centers in rural counties (<250,000 population) for adults and children. Applicants must partner with local mental health authorities and provide evidence-based or best practices for mental health and substance use treatment. Key contacts: Cecile E. Young; Dedra Williams Dedra.Williams@hhs.texas.gov
Event schedule:
- Application Submission Deadline - 07/03/2024 - 10:30 AM CT
- Deadline for Submitting Questions or Requests for Clarifications - 06/14/2024 - 5:00 PM CT
- Anticipated Project Start Date - 11/01/2024 - CT
- Funding Announcement Posting Date - 2024-06-05
- Deadline for Submitting Questions or Requests for Clarification - 2024-06-14 - 17:00 Central Time
- Tentative Date Answers to Questions or Requests for Clarification Posted - 2024-06-21 - 17:00 Central Time
- Application Submission Deadline - 2024-07-03 - 10:30 Central Time
- Anticipated Notice of Award - 2024-09-26
Dedra Williams - <Dedra.Williams@hhs.texas.gov> - Grant Specialist, HHSC Procurement and Contracting Services - Texas
Core Initiatives
Reduce recidivism, arrest, incarceration, and emergency detentions among individuals with mental illness or serious emotional disturbance in rural Texas
Establish or expand behavioral health centers and jail diversion centers to increase service access
Provide inpatient and outpatient mental health services to adults and children residing in rural Texas counties
Show all initiatives (12)
Reduce recidivism, arrest, incarceration, and emergency detentions among individuals with mental illness or serious emotional disturbance in rural Texas
Establish or expand behavioral health centers and jail diversion centers to increase service access
Provide inpatient and outpatient mental health services to adults and children residing in rural Texas counties
Ensure operational staff adhere to licensure requirements
Monitor grantee performance through financial and programmatic reports
Maintain continuity of operations during man-made or natural disasters
Achieve project goals in mental health services delivery
Establish or expand regional behavioral health centers or Jail Diversion Centers
Maintain financial control and compliance with grant terms
Ensure timely submission and accuracy of required reports
Meet matching (cost sharing) requirements based on service area population
Support sustainability plans in case of discontinued grant funding
Alexis Jimerson - <spppcs@hhs.texas.gov> - Grant Specialist, HHSC Procurement and Contracting Services
Core Initiatives
Recruit rural healthcare professionals
Train healthcare workforce locally
Develop retention strategies for rural areas
Promote sustainable rural healthcare delivery through provider coordination and innovative care models
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college campuses, mobile health care services, rural hospital improvements, and home visits.
Improve health outcomes through expansions of behavioral health services.
Improve chronic disease health outcomes such as reduced A1C and increased levels of hypertension management.
Expand technology to build remote monitoring and telehealth, expand EMR usage for pharmacists, and pilot innovative screening technologies for chronic disease management.
Build a future where every community has access to high-quality, locally grounded care connected through technology, supported by regional collaboration and sustained by a strong rural workforce.
Reduce preventable hospitalizations and emergency department visits year over year.
Build a resilient, digitally connected, community-anchored provider network to deliver flexible care across rural regions.
Advance whole-person health through connected care technologies and coordinated pathways for behavioral health, chronic disease, maternal health, and social needs.
Promote sustainable access by focusing on integration and comprehensive delivery of services leveraging technology and supporting workforce.
Make Rural America Healthy Again through increased provision of primary care services, oral health services, and nutrition education.
Increase healthcare access and quality for improved chronic disease management and health outcomes for rural communities.
Prioritize direct investment in provider capacity over creating new programs by supplying practical tools and support to deliver high-quality care efficiently and sustainably.
Rural residents, particularly in Appalachia, experience worse health outcomes; improve preventative care utilization and chronic disease outcomes.
Make Rural Texans Healthy Again: Reduce Texas non-metro ratio of population to dieticians and community health workers.
Making Rural Utahns Healthy by promoting nutrition, physical activity, and preventative care.
Build robust rural networks through enhanced primary care and long-term care support.
Virginia's rural health transformation where rural Virginians lead the way to better health through innovative tools and effective prevention strategies.
Address rural healthcare challenges including higher rates of substance use disorder, high hospital clinician and staff turnover, and emergency room strain.
Address health-related barriers to workforce participation and improve healthcare system sustainability in West Virginia.
Improve health care for rural Wisconsinites by focusing on care coordination, mental health support, leveraging technology, and workforce development.
Wyoming's priorities guided by stakeholder input to increase technology adoption, improve access, and improve healthcare efficiency.
how-apply-enrollment
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Exhibit P, HHSC List of Eligibility Offices.pdf
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HHS0015344 EXHIBIT C HHS Additional Provisions Grant Funding.pdf
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HHS0015344 EXHIBIT D-1 DUA Governmental Entity v8.5 10-2019.pdf
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HHS0015344 EXHIBIT F Exceptions Form 2020.docx
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Exhibit I, SBHCC Report Template.docx
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Exhibit C, HHS Additional Provisions Grant Funding Version 1.0.pdf
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EXHIBIT C HHS Additional Provisions Grant Funding v1.0.pdf
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SB00030F.pdf
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HHS0015344 EXHIBIT D-2 HHS Data Use Agreement v.8.5 October 23, 2019.pdf
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Exhibit C, HHS Additional Provisions Version 1.0.pdf
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Exhibit K, HHS Additional Provisions Grant Funding Version 1.0.pdf
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EXHIBIT I Texas UGCs for Construction Contracts v 2.2.pdf
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Texas Exhibit L RFA No. HHS0014507 RHTP Application
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Texas FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) CERTIFICATION As The Duly Authorized Representative (Signor) Of The Contractor, I Hereby Certify That The Statemen
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Texas Exhibit N: KEY PERFORMANCE REQUIREMENTS RFA NO. HHS0014507 ADRC KPR 1 Reporting Period As Required Service/Component Program Requirements - Incident Reporting Performance Sta
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Texas Exhibit B ADRC PSA Regions And Funding Estimates RFA No. HHS0014507 Table 1: Identifies The ADRC Planning Service Areas (PSAs) And Regions For Which R Espondents May Submit A
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Texas HHS0014211 Request For Applications Exhibit G RHTP Guidance
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Texas Exhibit F, Request For RFA HHS0014455 RHTP Application
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Texas Exhibit N, Online Bid Room Request For Applications HHS0014534 Responses For This Request For Application May Be Submitted Electronically Using The HHS Online Bid Room Or Any
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Texas HHS0014211 Request For Applications Exhibit C Health And Human Services (HHS) Additional Provisions – Grant Funding Version 1.0 Health And Human Services Additional Provision
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Texas Attachment K-1, One Time Start-up Costs RHTP Guidance
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Texas Cecile Young, Executive Commissioner Request For Applications (RFA) For Nutrition Incentive Program Project RFA No. HHS RFA HHS0014534 Exhibit D, Required Services RHTP
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Texas RFA No. HHS00 14532 Exhibit D -1 D ATA U SE A GREEMENT B ETWEEN T HE T EXAS H EALTH A ND H UMAN S ERVICES S YSTEM AND C ONTRACTOR This Data Use Agreement (“DUA”) Is Effective
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Texas Exhibit E, Evaluation Tool Criteria, Subcriteria Sheet Evaluation Scoring Guide Score Level Description Unacceptable 1 Response Does Not Address Requirement. Response Is Comp
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Texas Cecile Young, Executive Commissioner Request For Applications (RFA) RHTP
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Texas RFA HHS0014610 Exhibit I Exhibit I , HHS Online Bid Room Instructions Responses For This Request For Applications May Be Submitted Electronically Using The HHS Online Bid Roo
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Texas Cecile Young, Executive Commissioner Request For Applications (RFA) For Nutritional Incentive Program Project RFA No. HHS0014534 Exhibit F, Key Performance Requirements Page
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Texas Form D Single Point Of Contact Coordination RHTP Document
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Texas Exhibit H , Evaluation Tool RFA No. HHS0014610 Criteria, Subcriteria Sheet Evaluator Respondent # Criteria Weight Score Comments 1 Single Point Of Contact Coordination (45%)
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Texas RFA HHS0014610 Exhibit E Multi-Assistance Center Demonstration Project Exhibit E, Statement Of Work RHTP Document
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Texas The Certifications Enumerated Below Represent Material Facts Upon Which DSHS Relies When Reporting Information To The Federal Government Required Under Federal Law. If The De