On October 8, 2026 CMS released its Year 1 RHTP Annual Report, including a state-by-state obligated-funds snapshot through July 31, 2026. We cross-referenced every figure against RCJ's own independently tracked Budget Period 1 award data, then looked at what the snapshot's cutoff date misses.
Rural Care Journey · Status as of October 9, 2026
CMS source document
The 105-page federal report contains state-submitted Budget Period 1 obligated-funds data through July 31, 2026. This download is publicly available.
Download CMS report PDFRCJ analysis · Subscriber report
Our extended analysis compares CMS's snapshot with RCJ tracking, including the West Virginia cutoff-date case study, the full 50-state comparison, and a named-awardee directory cross-referenced against CMS.
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RCJ analysis · Subscriber report
1,850 RCJ-tracked award records, independently matched by name to the healthcare-entities directory across 47 states — award amount, program description, and contact details (phone, address, website) where researched. Searchable and filterable by state.
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CMS Budget Period 1 award, 50 states
$4.00B
CMS funds put to work (as of 7/31/2026)
40.0%
National obligation rate
49 of 50
RCJ's own BP1 figures match CMS within ±1%
All 50 states, sorted low to high
Georgia, Hawaiʻi and New Hampshire report 100% obligated; New York and West Virginia report 0%. The national rate is a weighted average, not a per-state midpoint.
What CMS's snapshot misses
CMS's cutoff is July 31, 2026. RCJ's own tracking runs continuously, and already holds 22 named West Virginia awards dated between Sep 4 and Oct 1 — all after CMS's reporting window closed. This isn't a data-quality problem in CMS's report; it's the normal lag of a static quarterly snapshot against a continuously updated tracker. CMS refreshes this report quarterly; the next update (following the Nov 30, 2026 Quarterly Report) should show West Virginia's real number.
| Recipient | Program | Award date | Amount |
|---|---|---|---|
| Spotted Owl Healthcare Organization | Health to Prosperity (HTP) -- worksite clinics | Sep 4 | $1,174,000 |
| Cabell Huntington Foundation | Health to Prosperity (HTP) -- worksite clinics | Sep 4 | $612,000 |
| CAMC/Vandalia Health | Health to Prosperity (HTP) -- worksite clinics | Sep 4 | $612,000 |
| Ascend WV | Mountain State Care Force -- workforce recruitment | Sep 9 | $2,400,000 |
| West Virginia Health Information Network | Connected Care Grid -- health data infrastructure | Sep 17 | $855,400 |
| WVU Medicine Center for Nursing Education | Workforce / nursing education | Sep 21 | $291,403 |
| CHANGE, Inc. | Smart Care Catalyst -- Provider Productivity Support Fund | Sep 22 | $500,000 |
| Minnie Hamilton Health Care Center | Connected Care Grid -- mobile medical clinic | Sep 30 | $1,700,000 |
| Community Care of West Virginia | Telehealth + mobile unit + workforce training | Sep 30 | $1,103,614 |
| Mon Health Marion Neighborhood Hospital | Not disclosed in source | Sep 30 | Not disclosed |
| Vandalia Health | Not disclosed in source | Sep 30 | Not disclosed |
| Stonewall Jackson Memorial Hospital | Not disclosed in source | Sep 30 | Not disclosed |
| Preston Memorial Hospital | Not disclosed in source | Sep 30 | Not disclosed |
| Broaddus Hospital | Not disclosed in source | Sep 30 | Not disclosed |
| Webster Memorial Hospital | Not disclosed in source | Sep 30 | Not disclosed |
| Plateau Medical Center | Not disclosed in source | Sep 30 | Not disclosed |
| Vandalia Health CAMC Plateau Medical Center | Vandalia Health network award | Oct 1 | $363,000 |
| Minnie Hamilton Health System | Vandalia Health network award | Oct 1 | $363,000 |
| Vandalia Health Mon Marion Neighborhood Hospital | Vandalia Health network award | Oct 1 | $363,000 |
| Vandalia Health Mon Webster Memorial Hospital | Vandalia Health network award | Oct 1 | $363,000 |
| Mon Stonewall Jackson Memorial Hospital | Vandalia Health network award | Oct 1 | $363,000 |
| Vandalia Health Mon Preston Memorial Hospital | Vandalia Health network award | Oct 1 | $363,000 |
Two different kinds of "low obligation"
Nevada, Idaho and New Mexico also report under 2% obligated, and RCJ's tracker shows dozens of competitive grant rounds that already closed in each of those states — real pipeline activity CMS's number doesn't yet reflect either. But unlike West Virginia, RCJ has found no confirmed, dated award announcements for any of the three yet: their competitions closed, but no outcome has surfaced publicly. New York is the clean counter-example — both CMS and RCJ show thin activity, which is the one case here where the low obligation rate looks like a genuine pace issue rather than a reporting-lag artifact.
All 50 states
| State | CMS BP1 award | CMS put to work | Obligated | RCJ tracked BP1 | RCJ vs CMS |
|---|---|---|---|---|---|
| New York | $212,058,208 | $0 | 0.0% | $212,000,000 | -0.03% |
| West Virginia | $199,476,099 | $0 | 0.0% | $199,000,000 | -0.24% |
| Idaho | $185,974,368 | $430,414 | 0.2% | $186,000,000 | +0.01% |
| New Mexico | $211,484,741 | $754,754 | 0.4% | $211,000,000 | -0.23% |
| Florida | $209,938,195 | $1,834,280 | 0.9% | $210,000,000 | +0.03% |
| Wyoming | $205,004,743 | $1,867,792 | 0.9% | $205,004,743 | 0.00% |
| Nevada | $179,931,608 | $2,376,546 | 1.3% | $180,000,000 | +0.04% |
| Alabama | $203,404,327 | $5,409,614 | 2.7% | $203,000,000 | -0.20% |
| Arkansas | $208,779,396 | $6,158,032 | 3.0% | $209,000,000 | +0.11% |
| Alaska | $272,174,856 | $11,536,771 | 4.2% | $272,000,000 | -0.06% |
| North Dakota | $198,936,970 | $11,242,063 | 5.7% | $199,000,000 | +0.03% |
| South Dakota | $189,477,607 | $12,183,935 | 6.4% | $189,000,000 | -0.25% |
| Michigan | $173,128,201 | $13,336,877 | 7.7% | $173,000,000 | -0.07% |
| Louisiana | $208,374,448 | $19,164,872 | 9.2% | $208,000,000 | -0.18% |
| Colorado | $200,105,604 | $18,837,181 | 9.4% | $200,000,000 | -0.05% |
| Minnesota | $193,090,618 | $20,881,682 | 10.8% | $193,000,000 | -0.05% |
| Ohio | $202,030,262 | $26,545,567 | 13.1% | $202,000,000 | -0.01% |
| South Carolina | $200,030,252 | $26,499,269 | 13.3% | $200,000,000 | -0.02% |
| Vermont | $195,053,740 | $28,369,910 | 14.5% | $195,053,740 | 0.00% |
| Tennessee | $206,888,882 | $31,259,550 | 15.1% | $207,000,000 | +0.05% |
| Montana | $233,509,359 | $41,761,907 | 17.9% | $233,509,359 | 0.00% |
| Texas | $281,319,361 | $53,288,873 | 18.9% | $281,319,361 | 0.00% |
| Maine | $190,008,051 | $52,132,568 | 27.4% | $190,000,000 | 0.00% |
| Wisconsin | $203,670,005 | $75,339,161 | 37.0% | $204,000,000 | +0.16% |
| Utah | $195,743,566 | $75,041,969 | 38.3% | $196,000,000 | +0.13% |
| Arizona | $166,988,956 | $72,973,309 | 43.7% | $167,000,000 | +0.01% |
| Mississippi | $205,907,220 | $94,423,465 | 45.9% | $206,000,000 | +0.05% |
| Massachusetts | $162,005,238 | $74,605,334 | 46.0% | $162,000,000 | 0.00% |
| Kentucky | $212,905,591 | $98,312,201 | 46.2% | $213,000,000 | +0.04% |
| Delaware | $157,394,964 | $76,882,711 | 48.9% | $157,000,000 | -0.25% |
| Missouri | $216,276,818 | $106,330,417 | 49.2% | $216,000,000 | -0.13% |
| Oregon | $192,271,578 | $102,723,439 | 53.4% | $197,000,000 | +2.46% |
| New Jersey | $147,250,806 | $79,181,620 | 53.8% | $147,000,000 | -0.17% |
| Kansas | $221,898,008 | $126,958,972 | 57.2% | $222,000,000 | +0.05% |
| Nebraska | $218,529,075 | $128,089,295 | 58.6% | $219,000,000 | +0.22% |
| Oklahoma | $223,476,949 | $140,294,830 | 62.8% | $223,000,000 | -0.21% |
| Pennsylvania | $193,294,054 | $123,081,436 | 63.7% | $193,000,000 | -0.15% |
| Virginia | $189,544,888 | $126,585,461 | 66.8% | $190,000,000 | +0.24% |
| Washington | $181,257,515 | $122,687,472 | 67.7% | $181,000,000 | -0.14% |
| Rhode Island | $156,169,931 | $114,158,926 | 73.1% | $156,000,000 | -0.11% |
| North Carolina | $213,008,356 | $167,718,439 | 78.7% | $213,000,000 | 0.00% |
| Illinois | $193,418,216 | $165,226,823 | 85.4% | $193,000,000 | -0.22% |
| Iowa | $209,040,064 | $191,784,688 | 91.8% | $209,000,000 | -0.02% |
| California | $233,639,308 | $219,133,495 | 93.8% | $234,000,000 | +0.15% |
| Indiana | $206,927,897 | $202,503,452 | 97.9% | $207,000,000 | +0.03% |
| Connecticut | $154,249,106 | $151,820,672 | 98.4% | $154,249,106 | 0.00% |
| Maryland | $168,180,838 | $167,198,410 | 99.4% | $168,000,000 | -0.11% |
| Georgia | $218,862,170 | $218,862,170 | 100.0% | $219,000,000 | +0.06% |
| Hawaii | $188,892,440 | $188,892,440 | 100.0% | $189,000,000 | +0.06% |
| New Hampshire | $204,016,550 | $204,016,550 | 100.0% | $204,000,000 | -0.01% |
CMS figures are state-submitted, as reported in the Year 1 RHTP Annual Report through July 31, 2026. RCJ figures reflect opportunity and award records tracked and verified through October 9, 2026. All dollar amounts are CMS's own; RCJ's own BP1 tracking independently matches CMS within 1% for 49 of 50 states (Oregon is the one exception, off by 2.46%).