# Texas Federal RHTP Award: Year 1 (FY 2026)

CMS's Year 1 (FY 2026, Budget Period 1) Rural Health Transformation Program award to Texas: $281,319,360.67, as listed on CMS's State Data Maps. CMS announced Year 2 (FY 2027) awards on November 9, 2026; Texas's Year 2 award is $281,976,026.

## Key facts

- Status: Closed
- Type: AWARD
- Issued by: Centers for Medicare & Medicaid Services (CMS) (Texas)
- Posted: 2025-09-01
- Questions due: 2025-10-01
- Application due: 2025-11-05
- Funding: $281.3M
- Eligible applicants: State Agency
- How to apply: Applications must be submitted electronically via the Grants.gov portal for the Rural Health Transformation Program (RHTP) by the designated state administering agency (i.e., Texas Health & Human Services Commission).
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf

## Eligibility

Eligible applicants are limited to the State of Texas, as the Texas Health & Human Services Commission is the official applicant and recipient. Sub-award opportunities may exist for rural health providers, hospitals, and community organizations as determined by state-administered processes.

## Requirements

Application requirements include a comprehensive statewide rural health transformation plan detailing at least three activities aligned with CMS strategic goals (preventive health, provider sustainability, workforce development, innovative care, or technology transformation), a detailed budget, letters of support from partnering rural healthcare entities, a population health impact statement, and an implementation and evaluation plan. Post-award, recipients must provide periodic program reporting to CMS and comply with all terms under the cooperative agreement.

## Application package and source documents

- [US - 2026 - CMS RHTP](https://www.ruralcarejourney.com/api/documents/e04c82f9-6d26-4d92-8db9-7715c2a38d4a/file) (primary) — official: https://www.cms.gov/files/document/rural-health-transformation-50-state-spotlights.pdf
- [US - 2026 - RHT Program Overview](https://www.ruralcarejourney.com/api/documents/e6dd59cf-4228-45ce-8888-31634918e482/file) — official: https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview
- [TX - 2025 - Notice of Award Dec. 29, 2025 (Migrated from duplicate federal row)](https://www.ruralcarejourney.com/api/documents/6009b90f-514f-4a80-8304-d8d5fca07dca/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/awrd-notice.pdf
- [TX - 2026 - Rural Texas Strong (RHTP) (Guidance / reference (not standalone opportunity))](https://www.ruralcarejourney.com/api/documents/98ed84ad-2a74-4b8b-a89e-6b1161870b6a/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/rural-tx-strng-fact-sheet.pdf
- [TX - 2026 - The Rural Texas Strong Program – Initiative 1 (Part 2): Make Rural Texas Healthy Again](https://www.ruralcarejourney.com/api/documents/c9409920-176e-4b68-a7d7-a70d32d15510/file) — official: https://hhsgrant.my.site.com/sfc/servlet.shepherd/version/download/068cr00000ogFe9AAE
- [TX - 2025 - One Big Beautiful Bill Act (OBBBA) RHTP – Rural Texas Strong](https://www.ruralcarejourney.com/api/documents/d03f2f4c-d4d9-4c28-9b2b-024fd5257399/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/rural-txstrongproject-supp-mtrls.pdf
- [TX - 2026 - Budget Period 1 Notice of Award](https://www.ruralcarejourney.com/api/documents/442febeb-05c1-4451-b180-4bbd912157b1/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/bdgt-prd1-notice-award.pdf
- [TX - 2026 - Rural Texas Strong Program (RHTP) (Texas award recipients)](https://www.ruralcarejourney.com/api/documents/63d84567-08f9-4796-93f3-af64321d9370/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/aprvd-bdgt-prd-1-rvsd-bdgt-narr.pdf
- [TX - 2026 - Texas RHTP (Revised Budget Period 1 Budget Narrative)](https://www.ruralcarejourney.com/api/documents/bd100be0-8509-4973-9ca2-71bf2a8ccb37/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/bdgt-prd-1-rvsd-bdgt-narr.pdf
- [TX - 2026 - HHSC PCS Grant Award HHS0016568 - Texas Nurse-Family Partnership (TNFP) Program (Award evidence — reconciled 2026-09-27)](https://www.ruralcarejourney.com/api/documents/25a25c29-469c-43a1-a5cc-860ba71f6654/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016568-hhs-award-notice.pdf
- [TX - 2026 - HHSC PCS Grant Award - HHS0015358 (Award evidence — reconciled 2026-09-27)](https://www.ruralcarejourney.com/api/documents/40267cc2-ae78-4217-b942-69d0eb86c145/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015358_grants_awarded.pdf
- [TX - 2026 - HHSC PCS Grant Award - HHS0016121 (Award evidence — reconciled 2026-09-27)](https://www.ruralcarejourney.com/api/documents/f74143a4-b75a-44b8-a6fa-398b2de66125/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016121-notice-of-award.pdf
- [TX - 2028 - HHSC Rural Texas Strong Budget Narrative Budget Period 2 (Texas Rural Texas Strong Budget Period 2 narrative)](https://www.ruralcarejourney.com/api/documents/7715f635-f818-4bb1-b1e1-bfee8f70d0e6/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/aprvd-bdgt-prd-2-rvsd-bdgt-narr.pdf
- [TX - 2026 - Rural Texas Strong Program: Intent to Award List as of 10/8/26 (Texas Rural Texas Strong intent-to-award list)](https://www.ruralcarejourney.com/api/documents/8c3c4c8a-e9d6-43b3-af0d-b52dbd45530e/file) — official: https://pfd.hhs.texas.gov/sites/default/files/documents/rural-hlth-prgm/2026/10-8-2026-list-award-recipients.xlsx

More Texas RHTP activity: https://www.ruralcarejourney.com/states/tx (markdown: https://www.ruralcarejourney.com/states/tx.md)

---
Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/texas-federal-rhtp-award-year-1-fy-2026--e0b071a6ed — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.