The Rural Texas Strong Program – Initiative 1 (Part 1): Make Rural Texans Healthy Again

Summary

Noncompetitive direct-award opportunity under Texas Rural Texas Strong Initiative 1, Part 1: Make Rural Texans Healthy Again. HHSC expected participating rural hospital districts to enroll for cost-reimbursement funding to enhance or create community-based prevention, wellness, and nutrition programs or services addressing diabetes, obesity, heart disease, and maternal health outcomes. The estimated Part 1 allocation was $60 million; this is a program allocation, not a per-recipient award ceiling.

Eligibility

Eligible entities: rural hospital districts with a publicly owned and operated hospital in their jurisdiction. This was a direct-award/enrollment process for eligible participating districts rather than an open competitive RFA.

Requirements Checklist

• Eligible districts were required to complete the HHSC enrollment/application process by May 26, 2026 at 10:30 a.m. Central Time after the deadline extension. Funding was described by HHSC as cost reimbursement for eligible prevention, wellness, and nutrition activities.

Submission Instructions

HHSC enrollment/application process through the HHS Grants Management System; eligible grantees were to be contacted directly with instructions.

Source Documents