# Texas Rural Hospital Improvement Grant (HHS0015677)

The Texas Health and Human Services Commission (HHSC) is offering the Rural Hospital Improvement Grant (RFA No. HHS0015677) to provide time-limited financial support for qualified rural hospitals in Texas. The program aims to improve the financial stability of rural hospitals through hospital improvement activities. Up to 33 hospitals may each receive up to $350,000 from a total grant pool of $11,550,000 for FY2025. Funding is time-limited and tied to state legislative appropriations. No local cost share or match is required. The Project Period runs from the effective date of the Grant Agreement through August 31, 2026. Applicants must submit a Hospital Financial Stability Improvement Plan and comply with quarterly reporting requirements. Eligible hospitals must be classified as rural by population thresholds or Medicare designation as defined in the RFA.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Texas Health and Human Services Commission (HHSC) (Texas)
- Posted: 2025-03-11
- Questions due: 2025-03-18
- Application due: 2025-04-09
- Funding: $350,000
- Eligible applicants: Rural Hospitals
- How to apply: Electronic submission via the HHSC Application Portal. See RFA instructions for details.
- Funding source: state-funded, not RHTP
- Official source: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_request_for_applications.pdf

## Eligibility

Eligible applicants are rural hospitals in Texas, defined as hospitals that: (A) are located in a Texas county with 68,750 or fewer persons according to the 2020 U.S. Census; (B) are designated by Medicare as a Critical Access Hospital (CAH), Sole Community Hospital (SCH), or Rural Referral Center (RRC) not located in a Metropolitan Statistical Area; or (C) have 100 or fewer beds, are designated by Medicare as a CAH, SCH, or RRC, and are located in a Metropolitan Statistical Area. See Section 1.2 of the RFA for detailed definitions.

## Requirements

Applicants must submit all required information and documentation by the submission deadline, including a 1-page Hospital Financial Stability Improvement Plan for HHSC approval, and comply with quarterly Financial Impact Reports, and supporting expenditure documentation. Hospitals must continue to provide hospital services to the public and participate in required meetings and program monitoring.

## Required attachments

- Hospital Financial Stability Improvement Plan (1-page narrative)
- Completed Application Forms
- Quarterly Financial Impact Reports
- Supporting Documentation for expenditures
- Solicitation Addendum Acknowledgement Forms

## Application package and source documents

- [TX - 2025 - Grant for Rural Hospital Improvement RFA No. HHS0015677 (TX - 2025 - HHS0015677 - Request for Applications (PDF))](https://www.ruralcarejourney.com/api/documents/5800351c-f455-419e-b902-eaa909be5c00/file) (primary) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_request_for_applications.pdf
- [TX - 2026 - HHSC PCS Grant Awards - HHS0015677 (TX - 2026 - HHS0015677 - Notice of Award (PDF))](https://www.ruralcarejourney.com/api/documents/f47295a8-7082-44cd-947b-3b795ef2ebfc/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_grants_awarded.pdf
- [TX - 2025 - Request for Application: HHS0015677 Rural Hospital Improvement (TX - 2025 - HHS0015677 | Resources)](https://www.ruralcarejourney.com/api/documents/ffcd33e4-9a0d-4ec6-9828-473f3447441e/file) — official: https://resources.hhs.texas.gov/rfa/hhs0015677
- [TX - 2026 - Open Grant Opportunties (RFA) Procurement Number](https://www.ruralcarejourney.com/api/documents/e48acffd-83f7-4931-bbf0-06050c3088b9/file) — official: https://resources.hhs.texas.gov/rfa/
- [TX - 2026 - Open Grant Opportunties (RFA) Procurement Number (844983)](https://www.ruralcarejourney.com/api/documents/46f62ed2-c7b7-4b3e-ab19-618f5fcc86a3/file) — official: https://resources.hhs.texas.gov/rfa
- [TX - 2025 - Request for Applications No. HHS0015677 Rural Hospital Improvement](https://www.ruralcarejourney.com/api/documents/c6dd814b-d3e6-480b-a25e-90de18223d07/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_applicant_conference.pdf
- [TX - 2025 - Rural Hospital Improvement RFA HHS0015677 Addendum 2 - Questions and Answers](https://www.ruralcarejourney.com/api/documents/a532fa4d-b97f-4c7c-a8fb-13f0b76adf3d/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_questions_answers.pdf
- [TX - 2026 - HHS0015677 - Exhibits and Forms (ZIP)](https://www.ruralcarejourney.com/api/documents/e8a538ee-aa40-4fb2-a7c9-f70e8b411ff1/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_exhibits_forms.zip
- [TX - 2026 - HHS0015677 - PCS121 Solicitation Addendum Acknowledgement Form - Addendum 1 (PDF)](https://www.ruralcarejourney.com/api/documents/8934fcca-fd7e-4a6e-a29c-9c002e3cf50c/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_pcs121_acknowledgement_1.pdf
- [TX - 2026 - HHS0015677 - PCS121 Solicitation Addendum Acknowledgement Form - Addendum 2 (PDF)](https://www.ruralcarejourney.com/api/documents/72d04dab-6b5c-4f3f-b168-548e722466b1/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0015677_pcs121_acknowledgement_2.pdf

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-rural-hospital-improvement-grant-hhs0015677--7b69a6de42 — data as of 2026-09-01.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.