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The Big Beautiful Bill’s Market-Based Health Care Delusion
The Rural Health Transformation Program asks states to build market-style reforms in places where health care markets often do not exist.
Questions Remain on Rural Health Transformation Funds Effects on Rural Hospitals
Across the country, states are grappling with how to allocate their portion of funds from the Rural Health Transformation Program (RHTP) created in 2025.
Governor Morrisey Announces $1.8M Investment to Address Critical Healthcare Workforce Shortages
Governor Patrick Morrisey announced a $1.8 million funding opportunity through the state's Rural Health Transformation Program (RHTP) to help address critical healthcare workforce shortages across West Virginia.
County Health Dept. seeks state funds for rural health initiatives
JACKSON, Wyo. — Wyoming’s Rural Health Transformation Program (RHTP) has opened its application window for funding opportunities related to strengthening rural health care, and the Teton County Health Department (TCHD) is preparing to apply. TCHD Director of Health Travis Riddell told Buckrail that the agency is planning to apply for multiple initiatives, including those related […]
Rural Health in Focus at NGA Health Policy Leadership Forum
Governors’ health advisors collaborate to sustain the rural health workforce, leverage the Rural Health Transformation Program and boost preventive care Charlotte, N.C. – The National Governors Association (NGA) this week hosted its Health Policy Advisors Institute, bringing together leaders from close to 20 states and territories to collaborate on strategies to advance access, trust and […]
Ongoing Maternity Care Innovations in California: California Rural Health Transformation (CalRHT) Program
This blog post is part of an NHeLP series about current initiatives to improve maternity care in California. The first blog post is on the California Department of Health Care Services Birthing Care Pathway. The second blog post is on California’s Transforming Maternal Health Model. This, the third and final blog post, is on the California Rural Health Transformation Program. […]
Ongoing Maternity Care Innovations in California: Birthing Care Pathway
This blog post is part of an NHeLP series about current initiatives to improve maternity care in California. This blog post, the first, is on the California Department of Health Care Services Birthing Care Pathway. The second blog post is on California’s Transforming Maternal Health Model. The third and final blog post is on the California Rural Health Transformation Program. […]
Newly Launched Initiative Strengthens Delaware’s Health Information Technology Infrastructure
The Delaware Department of Health and Social Services (DHSS) and the Delaware Health Care Commission today announced a new Rural Health Transformation Program (RHTP) initiative that will support real-time insurance verification and prior authorization across the state.
Ohio University receives first award from Rural Health Transformation Fund
Ohio University will receive the first funding from the federal Rural Health Transformation Program, according to Ohio Gov. Mike DeWine’s office.
Applications Opened July 1 for Wyoming's Rural Health Transformation Funding
CHEYENNE, WY – Today, the Wyoming Department of Health (WDH) announced the opening of Requests for Applications (RFAs) for Wyoming’s Rural Health Transformation Program, a major initiative designed to strengthen healthcare access, improve health outcomes, and support innovative solutions for rural communities across the state. The funding opportunity represents an important step in implementing […]
North Dakota opens wellness equipment funding opportunity for rural hospitals | Health and Human Services North Dakota
From fitness and recovery equipment to mindfulness tools and wellness spaces that help reduce burnout, North Dakota Health and Human Services (HHS) is investing in the health and well-being of rural healthcare workers through a new funding opportunity for rural hospitals.Applications are now open for the Hospital Wellness Equipment funding opportunity through the North Dakota Rural Health Transformation Program (RHTP), providing resources to help rural North Dakota hospitals create healthier workplaces and support the physical, mental and emotional well-being of their workforce.
Chairman Guthrie, Health Vice Chair Harshbarger, Congresswoman Miller-Meeks Lead Site Visit to Iowa Hospitals to Highlight Benefits of the Rural Health Transformation Program
The Committee on Energy and Commerce is the oldest standing legislative committee in the U.S. House of Representatives and is vested with the broadest jurisdiction of any congressional authorizing committee.
Governor Morrisey Announces $2.4 Million Investment to Expand Worksite Clinics Across West Virginia
CHARLESTON, W.Va. - Governor Patrick Morrisey today announced a $2.4 million investment to expand access to worksite-based healthcare services across West Virginia. Through the state's Rural Health Transformation Program (RHTP), the funding will expand employer-based health services and strengthen workforce participation as part of the Health to Prosperity (HTP) initiative. With this announcement, total funding opportunities and implementation initiatives under RHTP now exceed $88.5 million.
State advances over four hundred projects in bid for Rural Health Transformation Program funding
The state received about 1800 letters of interest from organizations, and those chosen are advancing to the application phase, or are getting grants for project planning.
Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
A bipartisan group of senators June 18 urged the Centers for Medicare & Medicaid Services to improve implementation of the Rural Health Transformation Program.
State advances over four hundred projects in bid for Rural Health Transformation Program funding
The state received about 1800 letters of interest from organizations, and those chosen are advancing to the application phase, or are getting grants for project planning.
Miller-Meeks Joins Governor Reynolds to Announce Major Milestone for Rural Health Care in Iowa
Congresswoman Mariannette Miller-Meeks, M.D. joined Governor Kim Reynolds in Muscatine to announce that Iowa has become the first state in the nation to fully allocate its first-year funding from the Rural Health Transformation Program created through the Working Families Tax Cuts.
Mobile health tops early RHTP funding trends
State rural health transformation programs aim to overcome high startup costs and allow rural providers to deliver complex care locally with remote ultrasound, RPM and other mobile health technologies, says one industry expert.
Congressman attacks Evers for his push to apply for federal funding
Wisconsin applied for federal funding through the Rural Health Transformation Program, which was included in the so-called Big Beautiful Bill.
Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
Rural Health Transformation Program Application
Massachusetts submitted an application to the Rural Health Transformation Program through the Executive Office of Health and Human Services (EOHHS).
Bipartisan Policy Center to Host Webinar on Rural Health Transformation Program
The Bipartisan Policy Center will host a webinar June 30 from 11 a.m. to noon EDT on how states are leveraging funding through the Rural Health Transformation Program (RHTP) to strengthen rural healthcare delivery through technology and workforce investments.
'A great opportunity': $10 million is transforming how Triad EMS agencies approach healthcare
The 'NC Rural Health Transformation Program' aims to expand access to mental health and substance use disorder treatment services for communities across NC.
First rural health grants in MS include building, technology upgrades
Mississippi unveiled the first initiatives funded by the Rural Health Transformation Program after experts said it was the least transparent state.
Governor Morrisey Announces $3.4M Rural Local Health Challenge Funding Opportunity
Governor Patrick Morrisey announced a $3.4 million for a statewide local health challenge funding opportunity to advance prevention-focused, community-based health initiatives through West Virginia’s continued participation in the federal Rural Health Transformation Program (RHTP).
Rural Health Transformation: Insights from States
The Rural Health Transformation Program (RHTP) will provide $50 billion to states over the next five years to transform rural health care. States received award decisions in late 2025 and are moving fast, with funding deadlines and reporting requirements already on the horizon. This program is rolling out as rural areas face significant federal Medicaid cuts over the next decade. What does this mean for Congress? Join the Bipartisan … Continued
Health Care Industry Trend Watch: Week of May 25, 2026
Attention now shifts to how states will deploy and account for Rural Health Transformation Program funding.
Healthcare bills spurred by $50B federal program await Alaska Gov. Dunleavy’s signature
State lawmakers passed two bills on the last day of the legislative session aimed at fulfilling requirements of the federal Rural Health Transformation Program.
Feds greenlight Wyoming’s plan to spend $205M on healthcare initiatives
CMS approved Wyoming’s Year 1 plan to spend $205 million from the Rural Health Transformation Program to support rural hospitals, build workforce and bolster preventive health.
How $200 million will be doled out to Wyoming health care providers
The federal Rural Health Transformation Program funds come after months of negotiations, which led Wyoming to drop a planned investment fund. Instead, the state will focus on basic care.
Governor Ivey Announces Six Alabama Rural Health Transformation Program Workshops Across State Next Week -
MONTGOMERY – Governor Kay Ivey on Thursday announced that the Alabama Department of Economic and Community Affairs (ADECA) is hosting a series of six workshops across Alabama next week for interested parties to learn more about the new Alabama Rural … Continued
Governors’ Policy Actions in Rural Health Workforce
Rural Health Transformation Program Insights (Download) Governors play a critical role in shaping the health workforce, using levers such as budget proposals, executive authority, and cross-agency coordination to recruit, train, and regulate workers. States face workforce shortages, particularly in rural areas, which reduce access to healthcare, impact health outcomes and harm local economies. The Health […]
Alaska Legislature asks federal government for more flexibility on rural health funding
Legislators say restrictions on how and when Rural Health Transformation Program funding can be used present problems for Alaska.
Additional $20 million in federal rural health grants announced for North Dakota
North Dakota has announced more than $20 million worth of new grant opportunities under the federal Rural Health Transformation Program — including for workforce education, mental health services and to fill rural healthcare service gaps.
Hunnicutt, national wellness leader, joins North Dakota’s rural health transformation effort | Health and Human Services North Dakota
North Dakota Health and Human Services (HHS) today announced Dr. David Hunnicutt, as a Rural Health Transformation Program strategist. Hunnicutt brings more than two decades of nationally recognized leadership to this role, having served 20 years as CEO of WELCOA—one of the largest and most influential corporate health and wellness organizations in the U.S. As principal of his own consulting firm, he spent seven years partnering with Dakota Medical Foundation (DMF) and the Impact Institute to design and launch initiatives that elevate leaders across North Dakota and strengthen the state’s capacity for long-term community well-being.
Reeves establishes Mississippi office for Rural Health Transformation Program funds
Gov. Tate Reeves has announced the creation of an office to manage federal funds for improving rural healthcare in Mississippi.
Mississippi Launches Rural Health Transformation Program Office and Website
Governor Tate Reeves today announced the establishment of the Mississippi Rural Health Transformation Program (RHTP) Office and launch of the official Mississippi RHTP website.
Opinion: Our health care struggles
The One Beautiful Bill Act threatens rural health care with drastic Medicaid cuts, despite the Rural Health Transformation Program's $50 billion compromise.
Next round of federal rural health grants to promote fitness, community gardens
North Dakota schools, local governments and organizations can apply for a combined $3.6 million in grant money now available through the federal Rural Health Transformation Program.
State Action to Improve Maternal & Child Health with the Rural Health Transformation Program: Virtual Convening of Milbank State Leadership Network Recap
Event Date: March 27, 2026 Introduction The Milbank State Leadership Network hosted a virtual session for state legislators and executive
Pa. receives $193 million from Rural Health Transformation Program, but rural health leaders remain wary of shortfalls
Pennsylvania received $193 million this year from the Rural Health Transformation Program, which will inject $50 billion over five years to the states. But the state’s rural health leaders worry that the money won’t be enough to fill the financial gaps rural health systems already face and the ones to come with Medicaid changes slated to start in 2027.
Miller-Meeks Leads Rural Health Transformation Program Roundtable in Washington County
WASHINGTON, IA – U.S. Representative Mariannette Miller-Meeks (IA-01) convened her third Rural Hospital Roundtable with Iowa HHS, and leaders from hospitals across Southeast Iowa to discuss the $50 billion Rural Health Transformation Program, and the impact it will have in Iowa.
The Rural Health Transformation Program Isn’t So Transformational
Rural health care systems have been in crisis for decades, a situation that will become more dire when steep cuts to Medicaid kick in next year.
Nebraska DHHS seeking rural health experts to join federal program advisory group
The Nebraska Department of Health and Human Services is creating an advisory board for the Rural Health Transformation Program. Though the program’s budget has been set, board members across six regions will assess how prepared hospitals and clinics in their region are to implement program initiatives.
HHS announces first Rural Health Transformation Program funding opportunity to strengthen rural health care workforce | Health and Human Services North Dakota
North Dakota Health and Human Services (HHS) today announced the first Rural Health Transformation Program funding opportunity is now available to support the retention of health care professionals in North Dakota’s 37 critical access hospitals and their owned and operated clinics. The deadline to apply is 5 p.m. CT April 30.
Advancing Technology Innovation through the Rural Health Transformation Program
States are using the $50B Rural Health Transformation Program to expand telehealth, strengthen health IT systems, and pilot AI-driven innovations in rural care.
Tennessee lawmakers skeptical over strings attached to Trump rural health grant program
The Trump administration’s Rural Health Transformation Program is being met with skepticism from Tennessee lawmakers.
Rural Health Transformation Program targets structural barriers across Missouri
Missouri will receive more than $216 million under a sweeping federal rural health initiative to modernize care in rural communities.
Rural Health Transformation Program targets structural barriers across Missouri
Under the initiative, Missouri will receive more than $216 million aimed at modernizing care in rural communities.
Wyoming Wants To Make Its Five-Year Federal Rural Health Funding Last ‘Forever’
State officials believe they’ve found a way to extend the life of federal Rural Health Transformation Program money Wyoming is receiving as part of last summer’s One Big Beautiful Bill Act — by investing most of it.
Jeffries, Prasad appointed to lead W.Va. DOH's Rural Health Transformation program
The West Virginia Department of Health appointed, on Feb. 13, 2026, Carrie Jeffries as director and Dr. Soumya Prasad as deputy director to lead the state’s Rural Health Transformation program.
Why a $193M injection for rural health care in Pa. isn’t easing closure worries
The five-year Rural Health Transformation Program is meant to expand and strengthen access to care, but state officials and experts warn the money isn’t enough to fix every problem.
Comparing States’ Rural Health Fund Allotments to Medicaid Spending Cuts Can be Misleading
This issue brief explains why it can be misleading to compare the first year of Rural Health Transformation Program allocations with estimated Medicaid cuts, which will be implemented on a gradual basis and not fully take effect until 2027, after the rural health fund is exhausted.
Governor Ivey Marks First Meeting of Alabama Rural Health Transformation Advisory Group -
MONTGOMERY – Governor Kay Ivey on Wednesday marked the first meeting of the Alabama Rural Health Transformation Advisory Group, which she established by Executive Order to advance policy development and implementation of Alabama’s Rural Health Transformation Program (ARHTP). The advisory … Continued
Media Recap: Rural Health Transformation Project Fund Distribution
The Detroit News published a story Jan. 29 on two recent House Appropriations Committee hearings on the distribution of Rural Health Transformation Program (RHTP) funds.
Here's what to know about the $50 billion states are getting for rural health
To satisfy Republicans opposed to last summer's cuts to health care, the Trump administration launched an ambitious 5-year initiative known as the Rural Health Transformation Program.
Gov. Armstrong signs bills to launch nearly $200M Rural Health Transformation Program | Health and Human Services North Dakota
Gov. Kelly Armstrong signed legislation positioning North Dakota to launch its Rural Health Transformation Program, backed by nearly $200 million in federal funding to strengthen rural health care statewide.
What You Need to Know About the New $50 Billion Rural Health Fund
The Trump administration recently announced how much money each state will receive under an ambitious 5-year initiative known as the Rural Health Transformation Program.
In State of the State Address, Armstrong says rural health care challenges in ND demand bold action | North Dakota Office of the Governor
North Dakota’s rural health care challenges demand bold action and new approaches, Gov. Kelly Armstrong said in a State of the State Address as the 69th Legislative Assembly convened in special session to appropriate nearly $200 million in federal funding for a statewide Rural Health Transformation Program.
Ohio got $202 million from feds for rural health care. Is it enough?
It's still unclear where exactly the Rural Health Transformation Program money is going, a concern rural independent hospitals expressed last summer.
Gov. Stein, health leaders host town hall on new rural health program
North Carolina Gov. Josh Stein, alongside state health leaders, will hold a virtual town hall Friday to discuss the new Rural Health Transformation Program.
Rural health transformation program jobs will be temporary, WV health department says
The staff the Department of Health intends to hire to oversee the Rural Health Transformation Program will be “temporary by design."
Colorado’s getting $1 billion to ‘transform’ rural health care. But hospitals aren’t thrilled with the state’s plan.
Last year’s H.R. 1 — also known as the “big beautiful bill” — allocated $50 billion for the federal Rural Health Transformation Program over five years.
North Dakota officials celebrate being among big winners in federal rural health funding
North Dakota U.S. Sen. John Hoeven and Gov. Kelly Armstrong on Friday touted the success of the state’s application for federal Rural Health Transformation Program funding, which landed one of the largest per-capita awards in the nation.
NV officials prioritize revised federal rural health funding while eyeing looming Medicaid cuts
Trump’s massive spending and tax cut bill included a $50 billion Rural Health Transformation Program to offset part of the bill’s cuts to Medicaid.
Montana Set to Receive $233 Million Through Federal Rural Healthcare Program
A federal healthcare program from The Centers for Medicare and Medicaid Services (CMS) is providing states with $50 billion spread out over the next five years to improve access and quality in rural healthcare. Passed inside of the One Big Beautiful Bill Act, the Rural Health Transformation Program (RHTP) will distribute 50% of its funds […]
Trump administration rolls out rural health funding, with strings attached
While every state applied for money from the Rural Health Transformation Program, it won't be distributed equally. And critics worry that the funding might be pulled back if a state's policies don't match up with the administration's.
Governor Ivey Announces Alabama Secures More Than $203 Million for Rural Health Transformation Program -
MONTGOMERY – Governor Kay Ivey on Monday announced Alabama has officially received its award number from the Centers for Medicare & Medicaid Services (CMS) for the federal Rural Health Transformation Program (RHTP), formally approving Alabama’s plan and unlocking $203,404,327 in … Continued
Texas to receive $281 million for rural health care
Texas will get the biggest portion of the first rollout of the $50 billion Rural Health Transformation Program, which was created in tandem with legislation slashing Medicaid funding.
US allots at least $147 million per state for rural health in 2026
The Trump administration will award between $147 million and $281 million to each U.S. state in 2026 under a new rural health transformation program aimed at improving access to care and the quality of services, a senior White House aide said on Monday.
ND awarded $199M for Rural Health Transformation Program to strengthen care in rural communities | North Dakota Office of the Governor
Gov. Kelly Armstrong announced that North Dakota has been awarded $199 million from the Centers for Medicare and Medicaid Services (CMS) to support the first year of a statewide Rural Health Transformation Program. The funding will strengthen rural health care by improving access, quality and health outcomes for North Dakotans in rural communities over the next five years.
Georgia health officials map out $1.4 billion plan for new federal rural health funds
State officials have introduced a $1.4 billion plan to improve rural health outcomes over the next five years under the federal Rural Health Transformation Program created as part of this summer’s budget reconciliation bill. In a 96-page application, officials from the state’s Department of Community Health requested funds to improve access to primary and specialty […]
A billion-dollar plan to bolster rural health in CT
DSS requested the funds for its 5-year plan from the Rural Health Transformation Program, which is part of Trump's One Big Beautiful Bill Act.