Idaho

Idaho RHTP FY26 plans major investments in workforce, facility technology, evaluation, emergency communications, maternal/child health, and rural behavioral health. All are at the competitive funding opportunity stage; no awards made yet. Event schedule: - Title Purpose/Description Agreement Type & Method Eligible Recipient(s) Eligibility Criteria Number of Awards Method of Accountability Funds Available Year 1 Status Maternal & Child The Department seeks to fund one (1) organization that will Subgrant - Entities who are able to Must be able to Single Monthly financial status reports, $1,200,000.00 With legislative Heath - Obstetrics serve as the lead agency to support rural provider entities to Competitive successfully demonstrate meet requirements quarterly program progress oversight committee Readiness enhance obstetric readiness for both birthing and non-birthing capabilities to meet all with demonstrated Reports assessing participation in facilities, and launch a quality improvement initiative with an subgrant scope of work experience statewide collaboratives; validation Obstetric Emergency Readiness Resource Kit to meet the CMS and deliverable of service delivery and data Obstetrical Services’ Conditions of Participation. This work will requirements. Must attest that accuracy; performance metrics for improve maternal and infant outcomes, promote consistent request is not prenatal access, birth outcomes, readiness across facilities, and support rural providers in duplicative or quality measures. delivering evidence-based, high-quality obstetric care. This supplanting federal, supports RHTP Initiative 4: Implementing population specific, state, local, or evidence-based projects to Make America Healthy Again. private funding Maternal & Child The Department seeks to fund one (1) organization that will Subgrant - Entities who are able to Must be able to Single Monthly financial status reports, $2,400,000.00 With legislative Health - Idaho serve as the lead agency to increase the number of rural Competitive successfully demonstrate meet requirements quarterly program progress oversight committee Perinatal Quality hospitals completing one (1) or more new perinatal collaborative capabilities to meet all with demonstrated Reports assessing participation in Collaborative initiatives from zero (0) to eight (8) by , 2030. This subgrant scope of work experience statewide collaboratives; validation supports RHTP Initiative 4: Implementing population specific, and deliverable of service delivery and data evidence-based projects to Make America Healthy Again. requirements. Must attest that accuracy; performance metrics for request is not prenatal access, birth outcomes, duplicative or quality measures. supplanting federal, state, local, or private funding Contractor to Under development In development Oversee Healthcare Career Advancement & Work-based Learning Healthcare Career Under development In development Advancement & Work-based Learning Graduate Medical The Department seeks to fund one (1) organization that Subgrant - Non- Idaho State Board of Must attest that Single Approved implementation plans $8,000,000.00 In development Education (GME) will serve as the lead agency to expand GME in Idaho in competitive Education request is not and partner agreements; quarterly accordance with Idaho’s RHTP grant. Specifically, the duplicative or reports (residents trained, Department seeks to enhance existing rural residency programs supplanting federal, rotations, incentives); verify via and create new tracks where needed, including but not limited state, local, or documentation & preceptor to OB/Gyn, behavioral health, and geriatrics. This supports private funding feedback; track resident retention RHTP Initiative 3: Sustaining rural workforce with training, in rural areas recruitment and retention. Cancer and Under development In development Chronic Disease & Treatment Rural Community Under development In development Health Workforce Expansion and Emergency Communications (NG911) - December 31 - Title Purpose/Description Agreement Type & Method Eligible Recipient(s) Eligibility Criteria Number of Awards Method of Accountability Funds Available Year 1 Status Behavioral Health The Department seeks to fund up to four (4) entities to build a Subgrant - Rural healthcare facilities, Entities serving Multiple Quarterly performance reports $400,000.00 In development Prevention continuum of care in their geographic area by specifically Competitive schools, community children and youth (service delivery, workforce addressing prevention of mental health issues in children and organizations, including ages 0-18 and metrics, outcomes); verify youth under the age of 18 through implementation of evidence- faith-based entities and families with implementation via site visits and based prevention practice. This supports RHTP Initiative 4: houses of worship Behavioral Health service data; payment tied to Implementing population specific, evidence-based projects to needs in designated service delivery documentation. Make America Healthy Again. healthcare shortage rural areas of Idaho. Must attest that request is not duplicative or supplanting federal, state, local, or private funding. Behavioral Health The Department seeks to fund up to fifteen (15) entities to Subgrant - County/local/state school Entities serving Multiple Quarterly performance reports; $6,000,000.00 In development School-based develop creative, dedicated space for family-selected behavioral Competitive districts (independent or children, youth and school based reach; verify Hubs health professionals providing access to services through public) families in implementation via site visits and integration into school-based settings while mitigating disruption behavioral service data; payment tied to during the academic day. This supports RHTP Initiative 4: County/local/state charter healthcare service delivery documentation. Implementing population specific, evidence-based projects to school districts designated Make America Healthy Again. (independent or public) shortage areas of rural Idaho. Tribal education agencies serving Federal and State Must attest that recognized Native request is not American youth, i.e., those duplicative or on reservation setting. supplanting federal, state, local, or private funding. Behavioral Health The Idaho Department of Health and Welfare (DHW), Division of Subgrant - Eligible entities include Must attest that Single Monthly financial status $1,200,000.00 In development Pediatric Behavioral Health (DBH), is seeking to establish a statewide Competitive Idaho public institutions of request is not reports, Quarterly Program Psychiatry Access Idaho Pediatric Psychiatry Access Line (PPAL) through higher education duplicative or Progress Reports Line (PPAL) partnership with one of Idaho’s public universities, consistent supplanting federal, with Idaho Code §67-2332A and interagency contracting state, local, or requirements. This solicitation supports Initiative 4: private funding. Implementing Population Specific, Evidence-Based Projects to Make America Healthy Again.

Idaho's Rural Health Transformation Program received nearly $186 million in CMS funding for its first year, launching five major initiatives aimed at advancing rural health technology, care models, workforce pipeline and retention, population health, and infrastructure. The strategy prioritizes telehealth, workforce incentives, EMS expansion, evidence-based population health interventions, and facility modernization. Competitive subgrant and procurement processes are being developed, with all Year 1 funds to be obligated by October 2026. Event schedule: - State application due - 12/31/2025 - Initial award received - 12/29/2025 - First annual report due - 08/30/2026

Idaho proposes a $1B 5-year RHTP statewide transformation. Key subgrants cover workforce, telehealth, cyber, maternal, tribal, and facility modernization. Implementation will be staged with outcome reporting, community and provider engagement, and extensive subawards. Event schedule: - Project Start Date - 12/31/2025 - MT - statewide - Project End Date - 10/31/2030 - MT - statewide

The Idaho Rural Health Transformation Program seeks $200 million annually for five years to restructure rural healthcare through five strategic initiatives focusing on workforce, access, technology, population health, and infrastructure. The program emphasizes sustainable rural health workforce development and community-based care models to ensure accessible, quality care close to home.

Idaho's RHTP award funds five strategic initiatives spanning telehealth expansion, EMS, workforce development, population health, rural facility upgrades, and a Tribal health set-aside. Year 1 budget is ~$187M. Multiple subgrants/contracts planned. Event schedule: - Year 1 Start - 12/29/2025 - Year 1 End - 10/30/2026

This summary reviews high-level elements of FY26 Rural Health Transformation Program (RHTP) applications from multiple states. Initiatives include strengthening maternal health, addressing chronic disease, workforce and infrastructure development, telehealth expansion, and population health improvement. All entries reflect state-level plans to use CMS RHTP funds; no specific subgrantee/recipient line awards are provided.

Idaho's Department of Health and Welfare submitted the grant application with extensive stakeholder and public input, identifying five major initiatives for rural health transformation. The program will receive approximately $100 million annually if approved, with activities including telehealth expansion, workforce recruitment and retention, chronic disease prevention, and rural health infrastructure improvements. Event schedule: - DHW application submitted - November 4, 2025 - Initial award received from CMS - December 29, 2025 - Budget revision submitted to CMS - January 30, 2026 - Non-contractual funding restriction lifted - February 11, 2026 - Posting of Requests for Proposals (RFPs) - May - June 2026 - Contracts and subgrants executed - July - September 2026 - All Year 1 funds obligated - October 30, 2026

Idaho's RHTP strategy focuses on five key initiatives including rural access through technology, innovative care models, workforce development, population-focused projects, and rural health infrastructure investments. CMS goals such as improving access, outcomes, and technology innovation guide these initiatives. Oversight mechanisms include detailed regular reporting to CMS and the Idaho Legislature. Key contacts: IdahoRHTP@dhw.idaho.gov Event schedule: - RHTP Goals Date - 9/22/2025 - Use of Funds Date - 9/22/2025

This document identifies rural eligibility in Idaho for the Rural Health Transformation Program, stating that 36% of the state population (655,070 people) live in eligible rural areas covering approximately 96% of the state's land area. Event schedule: - Document date - 10/20/2025

Governor Brad Little’s 2026-2027 budget address prioritizes rural health care access and workforce. The ENDURING IDAHO plan proposes investing nearly $1 billion in federal funds over five years to improve rural health care, including $150 million to strengthen the workforce pipeline and $1 million for graduate medical education. All allocations are budget proposals, not specific RHTP sub-awards.

The Idaho Governor issued an executive order establishing a Rural Health Taskforce to advise on the application of the RHTP in Idaho. The taskforce aims to coordinate rural health transformation and improve healthcare access and workforce in rural areas, leveraging federal RHTP funds.