# Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026 – 2027

The South Carolina Department of Health and Human Services (SCDHHS) is accepting applications for the fiscal year (FY) 2026 Rural Health Transformation Program: Shoring Up to Sustainability Initiative. Funded with $40 million from a federal cooperative agreement with CMS, this opportunity provides support to rural-serving healthcare providers and organizations through three targeted project tracks: facility infrastructure enhancements, masterclass workforce training, and healthcare workforce recruitment/retention incentives. The program aims to strengthen the sustainability and operational resilience of South Carolina’s rural healthcare delivery system by addressing key rural health barriers and supporting capacity building across the state.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: South Carolina Department of Health and Human Services (South Carolina)
- Posted: 2026-04-02
- Questions due: 2026-04-16
- Application due: 2026-06-01
- Funding: $40.0M
- Eligible applicants: Healthcare Provider, Community-Based Organization, Local Government Entity, Public Health Agency, Nonprofit Organization, Educational Institution, Professional Association, Licensing Board, Consortium/Collaborative
- How to apply: Applications must be submitted via the SCDHHS Grants Portal at https://www.scdhhs.gov/resources/grants.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://scdhhs.gov/sites/dhhs/files/(2026-04-02)%20Shoring%20Up%20to%20Sustainability%20SCDHHS-26-004.pdf

## Eligibility

Eligible applicants must meet all of the following requirements: (1) Serve rural communities in South Carolina; AND (2) Be one of the following: healthcare providers (including hospitals, clinics, federally qualified health centers, EMS providers, and pharmacies), South Carolina-based community-based organizations (CBOs) with a demonstrated role in health access or digital health support, South Carolina-based local government entities or public health agencies supporting rural health infrastructure, South Carolina-based nonprofit organizations with a mission aligned to improving rural health outcomes, South Carolina-based educational institutions (universities, technical colleges, high schools) engaged in healthcare workforce development, or consortia/collaboratives of South Carolina-based partners to strengthen rural healthcare infrastructure and/or workforce capacity.

## Requirements

Applicants must submit a project narrative and implementation plan addressing at least one of the three project tracks: facility infrastructure enhancements, masterclass workforce training, or healthcare workforce recruitment/retention incentives. Required attachments include progress reports, a federal financial report, documentation for Federal Funding Accountability and Transparency Act compliance, and SAM.gov responsibility/qualification records as detailed in the RFA.

## Required attachments

- Project Narrative
- Implementation Plan
- Progress Reports
- Federal Financial Report
- SAM.gov Responsibility/Qualification documentation
- Documentation for Federal Funding Accountability and Transparency Act

## Application package and source documents

- [SC - 2026 - RHTP: Connections to Care Initiative](https://www.ruralcarejourney.com/api/documents/e85a2c33-6bd8-4950-b653-787a9819d293/file) (primary) — official: https://scdhhs.gov/sites/dhhs/files/(2026-04-02)%20Connections%20to%20Care%20SCDHHS-26-001.pdf
- [SC - 2026 - Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026 – 2027](https://www.ruralcarejourney.com/api/documents/8b7042cf-0fe0-469d-a0c0-9badd160bb37/file) — official: http://www.scdhhs.gov/rhtp

More South Carolina RHTP activity: https://www.ruralcarejourney.com/states/sc (markdown: https://www.ruralcarejourney.com/states/sc.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/act-301-capital-expenditure-infrastructure-funding-opportunity-for-fy-2026-2027--23f7c00dfa — data as of 2026-10-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.