Federal

This document announces the FY2026 federal grant allocations for all 50 states under the CMS Rural Health Transformation Program, created by the One Big Beautiful Bill Act. Each state's RHTP award, totaling $10 billion across the US, supports rural health transformation initiatives spanning workforce, technology, population health, payment reform, and rural Medicaid.

This document compiles State-level abstracts from Rural Health Transformation Program (RHTP) applications submitted in December 2025. Each abstract summarizes the purpose, anticipated outcomes, major partners, and proposed program activities to be implemented with RHTP funds under the federal initiative. The document presents illustrative budgets, details of transformation plans, and a wide array of strategic approaches but is intended for public information and does not reflect final awards.

This fact sheet summarizes allowable and unallowable uses of Rural Health Transformation Program Category J funds for capital expenditures and infrastructure in rural health facilities. Examples of eligible expenses include minor renovations, equipment upgrades, repairs, accessibility improvements, and safety/security enhancements. Major construction or cosmetic upgrades are explicitly excluded, and total Category J spending cannot exceed 20% of a state’s RHTP award per budget period.

This letter presents bipartisan Senate support for improving implementation of the Rural Health Transformation Program (RHTP). Senators urge CMS to enhance flexibility, prioritize direct and equitable funding for rural hospitals and clinics, and remove barriers to infrastructure investments and IT modernization. The recommendations aim to ensure RHTP fulfills its promise to strengthen rural health care in underserved communities.

This draft CMS webinar provides detailed guidance on RHT Program state-level annual and quarterly reporting requirements. It outlines program timelines, required templates, the rescoring process for funding decisions, and the shift from Excel to a web-based reporting tool for states. No specific state- or initiative-level data is included, as this is a general federal instructional document.

This fact sheet provides guidance on allowable and unallowable uses of Category B Provider Payments under the Rural Health Transformation Program. It outlines restrictions, sustainability requirements, and the 15% cap on Category B funding, as well as allowable example expenditures tied to state RHT transformation plan initiatives. The document clarifies payment models and directs states to ensure RHTP funds do not duplicate existing programs.

This document provides an overview of the Rural Health Transformation Program (RHTP), a $50 billion initiative created by the One Big Beautiful Bill Act to transform care and improve outcomes in rural communities. It summarizes eligible use of funds, program strategic goals, and application requirements, and provides a timeline for application and awardee selection. Key goals include prevention and chronic disease management, workforce development, behavioral health, and technology advancement.

This summary outlines the Rural Health Transformation Program (RHTP) established by the OBBBA, appropriating $50 billion in federal funding to all 50 states from FY2026 to FY2030. It describes the distribution mechanism, allowable activities, and strategic goals of RHTP, designed to stabilize and strengthen rural hospitals, support workforce, and promote technology-driven solutions for rural communities.

This policy paper analyzes capital access challenges facing rural hospitals and other rural health facilities. It presents an overview of major capital funding programs and historical trends, emphasizing the complexity of blended financing and persistent access barriers. The report highlights the importance of technical assistance, partnerships, and varied funding streams for sustaining and modernizing rural healthcare infrastructure.

Reference: Senator Marshall Meets With Housing Energy Healthcare Professionals IN Southwest Kansas Link: https://www.marshall.senate.gov/newsroom/press-releases/senator-marshall-meets-with-housing-energy-healthcare-professionals-in-southwest-kansas/

Reference: ... and make it more sustainable. Nebraska's plan will build a prevention first, Link: https://dhhs.ne.gov/Pages/Open-Nebraska-RHTP-Funding-Opportunities.aspx

This CMS resource guide outlines how states can establish and administer a Rural Tech Catalyst Fund (RTCF) as part of the Rural Health Transformation program. The RTCF provides non-dilutive seed funding for innovative, tech-driven solutions to prevent and manage chronic diseases in rural populations. Eligible applicants are entities with novel products at the proof-of-concept or minimum viable product stage, targeting specific rural health needs. The guide details applicant criteria, fund management requirements, milestone payment structures, and federal compliance obligations.