HHS Region 4 · Alabama Department of Economic and Community Affairs (ADECA)
Program Overview
The program is funded through a $203,404,327 award from CMS for the first year under the One Big Beautiful Bill Act. Alabama’s plan, approved by CMS, includes 11 strategic initiatives and is overseen by the Alabama Rural Health Transformation Advisory Group. ADECA administers the program in collaboration with multiple state agencies and stakeholders.
Updated
County-level estimates averaged across Alabama — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (67)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Jefferson County | 667,755 | 15.7% | 11.4% |
| Mobile County | 412,590 | 16.2% | 11.9% |
| Madison County | 405,718 | 10.1% | 6.9% |
| Baldwin County | 246,989 | 10.1% | 6.8% |
| Tuscaloosa County | 237,552 | 16.8% | 10.9% |
| Shelby County | 230,211 | 7.2% | 5.0% |
| Montgomery County | 226,718 | 19.9% | 16.3% |
| Lee County | 181,134 | 18.9% | 10.0% |
| Morgan County | 124,471 | 13.5% | 9.1% |
| Calhoun County | 116,090 | 17.9% | 12.9% |
| Limestone County | 111,233 | 10.0% | 7.3% |
| Houston County | 108,140 | 17.5% | 13.1% |
AI source: AL - 2026 - ARHTP Roadshow Workshop Announcements
AI auto-updated May 28, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
1 related document
AL - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Alabama
Supporting summary
1,119,503 rural residents
Alabama has officially received its award from CMS for the Rural Health Transformation Program, unlocking over $203 million in first-year funding and marking formal approval of the state's plan. Governor Ivey has established an advisory group and ADECA is administering the program, but the state has not yet issued procurement opportunities to local providers or subrecipients. State opportunities: 1 total (1 past/closed), $300.0K listed funding. Key opportunities: 2026 Delta Workforce Grant Program. Strategy alignment: supports workforce priorities.
Alabama’s RHTP executes a five-year, multi-agency transformation governed by annual CMS review, blending state policy reforms, regional digital health infrastructure, scalable telehealth and specialty care initiatives, EMS innovation, and workforce pipeline development to systematically address persistent rural health disparities. The program prioritizes accountable and measurable outcomes through executive orders, detailed technical milestones, and recurring statewide stakeholder engagement. Local adaptation is facilitated by robust technical assistance workshops and community involvement throughout implementation.
Model
Technology-enabled regional transformation model featuring secure digital and IT/cybersecurity hubs, coordinated specialty and workforce pipelines, scalable telehealth, EMS and mobile health innovation, and annual recalibration through the CMS cooperative agreement and state policy alignment.
Key Initiatives
Timeline: Five-year program (2026–2030) with executive order and ARHTP Advisory Group established early 2026, policy fulfillment milestones set for 2027/2028, annual CMS review and funding adjustments, and ongoing statewide engagement cycles.
Maternal and Fetal Health: Targeted initiative to improve outcomes for mothers and infants in rural areas. (Regions: Rural Alabama)
Rural Healthcare Access: Focus on expanding access through workforce development, EHR collaboration, and EMS enhancements. (Regions: Rural Alabama)
Mental Health: Dedicated initiative to address mental health needs in rural communities. (Regions: Rural Alabama)
Delta Regional Authority (DRA), administered in Alabama by ADECA
Due May 15, 2026
1 related document
AL - 2026 - Delta Regional Authority – ADECA
The Alabama Department of Economic and Community Affairs is hosting a series of roadshow workshops in multiple locations across Alabama to inform stakeholders about the Rural Health Transformation Program and eleven statewide initiatives. These workshops aim to prepare applicants for the upcoming Notice of Funding Opportunities starting June 1, 2026. Event schedule: - Roadshow workshop Bay Minette - 05/26/2026 - 9:00-11:00 AM CT - Coastal Alabama Community College - Bay Minette Campus, Branch Building B - Room: 111 - Roadshow workshop Troy - 05/26/2026 - 5:30-7:30 PM CT - Troy University, Trojan Center - Lamar Higgins Ballroom - Roadshow workshop Gadsden - 05/27/2026 - 9:00-11:00 AM CT - Gadsden State Community College, Advanced Manufacturing Flex Lab - Roadshow workshop Florence - 05/27/2026 - 5:30-7:30 PM CT - University of North Alabama, Wesleyan Auditorium - Roadshow workshop Montgomery - 05/28/2026 - 9:00-11:00 AM CT - Alabama Center for Commerce, 7th Floor Auditorium - Roadshow workshop Livingston - 05/28/2026 - 5:30-7:30 PM CT - University of West Alabama, Bell Conference Center
Core Initiatives
In December 2025, Alabama was awarded $203 million for the first year of the Alabama Rural Health Transformation Program through a cooperative agreement with CMS. ADECA serves as the lead agency. This is a five-year program, with budget awards and program plans subject to annual review and update.
Event Schedule
Core Initiatives
Alabama ADECA is hosting a series of roadshow workshops in May 2026 to provide detailed information about the RHT Program and the eleven state initiatives targeting rural health transformation. These sessions aim to prepare applicants for the upcoming NOFO release on June 1, 2026. Event schedule: - Roadshow Workshop - 05/26/2026 - 9:00 AM - Coastal Alabama Community College - Bay Minette Campus - Roadshow Workshop - 05/26/2026 - 5:30 PM - Troy University - Trojan Center - Lamar Higgins Ballroom - Roadshow Workshop - 05/27/2026 - 9:00 AM - Gadsden State Community College - Advanced Manufacturing Flex Lab - Roadshow Workshop - 05/27/2026 - 5:30 PM - University of North Alabama - Wesleyan Auditorium - Roadshow Workshop - 05/28/2026 - 9:00 AM - Gordon Persons Building - Auditorium - Plaza Level, Montgomery, AL - Roadshow Workshop - 05/28/2026 - 5:30 PM - University of West Alabama - Bell Conference Center
Core Initiatives
The Alabama Rural Health Transformation Program will address persistent healthcare disparities by investing in workforce development, telehealth, health IT, financial reform, and expanded access to critical services, including maternal health and emergency care. Over $125M is proposed for five years, focused on regional IT/cybersecurity hubs, telehealth networks, specialty care access, and coordinated workforce pipelines. The ARHTP targets Alabama's over 1.6 million rural residents and will align with legislative and regulatory changes to establish a sustainable, accountable rural healthcare ecosystem.
The document outlines a detailed timeline and phased approach for Alabama's Rural Health Transformation Program launch in 2025, including outreach, application, review, and award phases. Systems development milestones for application and monitoring portals are also highlighted. Event schedule: - Applications Due - 06/26/2025 - Initial Award Notifications - 07/17/2025 - Program Year 1 Reporting to CMS - 08/31/2026
Core Initiatives
This CMS summary document outlines FY26 Rural Health Transformation Program applications from numerous states, each proposing large-scale, multi-initiative plans to address access, workforce, health information technology, quality, and population health in rural and frontier communities. Strategic goals and spotlights include maternal health, chronic disease, digital modernization, telehealth, workforce expansion, and hospital stabilization. Proposed funding amounts per state range from ~$150M to over $270M, but are for reference only at the application stage.
Core Initiatives
The program is funded through a $203,404,327 award from CMS for the first year under the One Big Beautiful Bill Act. Alabama’s plan, approved by CMS, includes 11 strategic initiatives and is overseen by the Alabama Rural Health Transformation Advisory Group. ADECA administers the program in collaboration with multiple state agencies and stakeholders. Event schedule: - Announcement of CMS award and plan approval - December 29, 2025 - Montgomery
Core Initiatives
ADECA serves as the lead agency coordinating with multiple state departments and the Governor’s Office. The program received $203 million for its first year and includes eleven initiatives designed to transform rural health in Alabama. Workshops are held to provide detailed program information and updates. Event schedule: - ARHTP Roadshow Workshop - May 26-28, 2026 - Various locations including Montgomery (Gordon Persons Building)
AL RHTP site updated — 1 new doc(s)
AL - 2026 - ARHTP Roadshow Workshop Announcements
AL RHTP site updated — 1 new doc(s)
AL - 2025 - Governor Ivey Announces Alabama Secures More Than $203 Million for RHTP -
AL - 2026 - ARHTP Project Narrative Final
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
AL - 2017 - The Office of Alabama Governor Kay Ivey
HTML
AL - 1967 - Governor -
HTML
The Alabama Rural Health Transformation Program (ARHTP) provides a comprehensive plan to address critical healthcare challenges across Alabama’s 58 rural counties, targeting health disparities, financial instability, workforce shortages, and access barriers in rural areas. Strategic initiatives include creating regional IT/cybersecurity hubs, telehealth and EMS transformation, maternal-fetal health programs, specialty care networks, and workforce development pipelines. ARHTP aligns with RHTP goals to foster innovation, build sustainable and data-driven health networks, and transform rural healthcare through targeted investments, partnerships, and measurable outcomes. Event schedule: - Executive Order Issued (ARHTP Advisory Group) - Early 2026 - Alabama - Policy Fulfillment for ARHTP Technical Score Credit - 12/31/2027 - Alabama - Policy Fulfillment for B.2 and B.4 - 12/31/2028 - Alabama
Core Initiatives
Event Schedule
Core Initiatives
OWR Policy and Notice of Non-Discrimination
AL - 2026 - Newsroom – ADECA
2026 · HTML
AL - 2025 - ADECA – Impacting Alabama
2025-2026 · HTML
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Slide Deck
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE OF ALABAMA PROCLAMATION RHTP 2020-2011 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Highlights Refining The Labor Force RHTP 2020 Report
2019-2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Administrative Code – ADECA Domestic Violence Center Procedures
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR ROBERT BENTLEY AND RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR ROBERT BENTLEY, GOVERNOR KAY RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2017 Document
2017 · PDF