RHTP Competitive Funding Opportunity: Rural Hospital Clinical Equipment (Solicitation 210-312)

Summary

the Rural Health Transformation Program (RHTP) Competitive Funding Opportunity for Rural Hospital Clinical Equipment (Solicitation 210-312). Approximately $40 million in total funding will support the purchase, installation, and minor renovations associated with advanced clinical equipment at rural hospitals—including critical access hospitals, rural emergency hospitals, and general acute hospitals (including eligible non-federally operated Indian Health Service Hospitals). The opportunity advances Initiative 3: Bring High-Quality Healthcare Closer to Home by modernizing rural physical infrastructure, strengthening service capacity, improving clinical outcomes, reducing patient outmigration, and enabling more efficient and resilient care delivery. Eligible equipment includes, but is not limited to, diagnostic imaging, surgical, emergency department, inpatient, swing bed, cardiology, lab, pharmacy, environmental, rehabilitation, OB, oncology, home health, and department-specific advanced clinical and capital equipment. Associated installation and minor renovations integral to equipment are allowable. Unallowable costs include equipment or renovations for non-clinical purposes, supplanting of existing funding, major facility renovations, general facility improvements, and items outside clinical scope. One application per organization is permitted; all applications must be submitted via Qualtrics by June 30, 2026 (5:00 PM CT).

Eligibility

Eligible applicants are rurally located hospitals in North Dakota, specifically Critical Access Hospitals, Rural Emergency Hospitals, and General Acute Hospitals—including non-federally operated Indian Health Service Hospitals—meeting the CMS rural hospital definition. Ineligible entities include hospitals or facilities located in Grand Forks, Fargo, West Fargo, or Bismarck; clinics; health centers; behavioral health or psychiatric hospitals; and federally operated Indian Health Service hospitals.

Requirements Checklist