Graphic of a map of the USA with Idaho hilighted.
Added Jun 15, 2026
HHS Region 10 · Idaho Department of Health & Welfare
Program Overview
Idaho's Rural Health Transformation Program is in its early implementation phase under the Department of Health and Welfare, with cooperative contracts and subgrants executed through 2026. Following completion of the first year of funding, the program is awarding grants supporting behavioral health prevention, healthcare infrastructure, graduate medical education, and diabetes management. Guided by stakeholder input, it prioritizes rural provider capacity building, workforce recruitment and retention, innovative care models, technology expansion, and infrastructure modernization. Current structured plan tracks 5 key initiatives and 13 strategic goals.
Updated
County-level estimates averaged across Idaho — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (44)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Ada County | 518,935 | 8.3% | 5.2% |
| Canyon County | 250,790 | 10.5% | 7.7% |
| Kootenai County | 181,996 | 9.0% | 5.6% |
| Bonneville County | 129,523 | 9.8% | 6.8% |
| Twin Falls County | 93,734 | 11.5% | 8.3% |
| Bannock County | 89,454 | 12.3% | 7.8% |
| Madison County | 54,618 | 24.5% | 12.9% |
| Bonner County | 51,049 | 11.1% | 7.0% |
| Bingham County | 49,664 | 11.7% | 8.5% |
| Nez Perce County | 42,697 | 12.2% | 8.3% |
| Latah County | 41,049 | 17.6% | 10.1% |
| Jefferson County | 33,154 | 9.7% | 7.6% |
AI source: ID - 2025 - RHTP state profile · Idaho Idaho RHTP
AI auto-updated Nov 12, 2026
API refreshed May 7, 2026
GuideGetting ready for Year 2 in Idaho?How to prepare for RHTP Year 2 funding →
Source: CMS State Data Maps ↗ · checked Nov 11, 2026
Federal awards to date: $368,672,744.74 (Year 1 $186.0M + Year 2 $182.7M)
Initiatives (5)
CMS stages run from Stage 0 (planning) to Stage 5 (full implementation). Complete In progress Not started
Key signals are summarized here. Open the source for the supporting detail.
488,012 rural residents
Idaho has launched statewide solicitations and opened multiple RFPs and structured subaward opportunities for rural health providers under the Rural Health Transformation Program as of August–September 2026, including Data Analytics, Facility Renovation Verification, and sector-specific initiatives for workforce, behavioral health, and chronic disease. Multiple open subgrant and vendor opportunities are active, with technical assistance calls, application deadlines, and several contract awards in progress across infrastructure, workforce, and behavioral health areas. Notably, all Year 1 funding opportunities closed by September 2026 with awards made for data analytics, infrastructure, behavioral health, and other key areas, and contracts are active or in final procurement. These steps demonstrate sustained, active program implementation and ongoing expansion across Idaho. State opportunities: 24 total (24 past/closed), $130.8M listed funding. Key opportunities: Idaho RHTP Healthcare Infrastructure Support (HIS); Graduate Medical Education (GME) Expansion for Rural Idaho – FFY26; Idaho RHTP School-Based Family Support Hubs (SBFSHs). Strategy alignment: supports workforce, telehealth, prevention priorities. State opportunities: 24 total (24 past/closed), $130.8M listed funding. Key opportunities: Idaho RHTP Healthcare Infrastructure Support (HIS); Graduate Medical Education (GME) Expansion for Rural Idaho – FFY26; Idaho RHTP School-Based Family Support Hubs (SBFSHs). Strategy alignment: supports workforce, telehealth, prevention priorities.
Idaho’s RHTP advances rural healthcare transformation through state-led, competitive subgrant initiatives managed by the Department of Health and Welfare. The program leverages formal legislative oversight, independent verification for facility renovations, and third-party data analytics to drive measurable outcomes and regulatory compliance. The strategy maintains rigorous annual and quarterly reporting to CMS, with an emphasis on direct engagement with rural and tribal communities, technology and cybersecurity modernization, and targeted workforce investment, all administered via transparent procurement and subaward processes.
Model
State-led, milestone-driven transformation with integrated rural facility modernization, cybersecurity and digital health expansion, innovative networked and school-based care models, chronic disease and diabetes prevention, behavioral and cognitive health initiatives, tribal and rural workforce capacity building, and third-party evaluation. Competitive subgrants and legislative oversight with required CMS reporting ensure program effectiveness and accountability.
Key Initiatives (5)CMS official list ↗
Supporting activities (20)
• Comprehensive rural and tribal health needs assessment and ongoing community/tribal engagement
• Facility and technology modernization—including Rural Cybersecurity Modernization Assessment, telehealth expansion, and EHR improvements
Timeline: Application submitted 11/04/2025; award 12/29/2025; budget revision 01/30/2026; funding restriction lifted 02/11/2026; RFPs released May–July 2026; subaward solicitations opened Aug–Sep 2026; contracts executed Jul–Oct 2026; all Year 1 funds obligated by 10/30/2026.
Ensuring Accessible Quality Care Through Innovative Models
Implement Population Specific, Evidence-based Projects to Make America Healthy Again
Improving Rural Access to Care Through Technology
Investing in Rural Health Infrastructure and Partnerships
Sustaining Rural Workforce with Training, Recruitment, and Retention
State Policy Action commitments (0 of 19)
Focus on perinatal quality collaboratives and OB readiness to improve maternal and child outcomes.
Focus on prevention programs and improved access to pediatric psychiatry services.
Includes facility renovation assessments and modernization of cybersecurity across rural health facilities.
Centers for Medicare & Medicaid Services (CMS)
Due Oct 30, 2025
1 related document
ID - 2025 - RHT in Wyoming
Wyoming RHTP application narrative
Centers for Medicare & Medicaid Services (CMS)
Grouped files
1 related document
ID - 2025 - Letter in Support of Illinois' RHT Program Application (CMS-RHT-20-001)
Illinois RHTP application support letter
Centers for Medicare & Medicaid Services (CMS)
Grouped files
No related documents
No linked documents found.
Due Sep 21, 2026
1 related document
ID - 2026 - RHTP Solicitation Webinar: Crisis Intervention Training (CIT)
Pre-application webinar slides (Sept 2, 2026) — scope, eligibility, budget, Q&A
Idaho Department of Health and Welfare (RHTP)
Due Sep 18, 2026
4 related documents
ID - 2026 - Solicitation for Subaward Applications: State of Idaho RHTP
Solicitation for Subaward Applications
Idaho Department of Health and Welfare
Due Sep 18, 2026
3 related documents
ID - 2026 - Solicitation for Behavioral Health Prevention Programs
Primary source
By budget period: BP1 $256.7M · Period unknown $39.5M (from the award date, the source's publish date, or RCJ having recorded the award before Budget Period 2 began)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026BP1 | Benewah Community Hospital Received funding for a clinic modernization project in Benewah County. | $6.7M | Health IT | |
| 2026BP1 | Bonner General Health Received RHTP Healthcare Infrastructure Support funding across two projects in Bonner County, including $3.69 million for a multispecialty healthcare suite and $2.12 million for a Meditech-related technology investment. | $5.8M | Health IT | |
| 2026 | Arkansas FAITH Program Enlists rural religious institutions to host education and preventive screening events, with installations of walking circuits and fitness equipment. | $5.0M | Population Health | |
| 2026BP1 | St. Mary’s Received RHTP Healthcare Infrastructure Support funding for multiple projects in northern Idaho, including the purchase of an MRI and replacement of aging x-ray equipment. | $4.9M | Health IT | |
| 2026BP1 | Mountain View Hospital Received funding for a mobile healthcare clinic to serve Jefferson, Bingham, Fremont, Clark, and Madison counties, offering preventive care, screenings, chronic disease management, imaging, and behavioral health services. | $2.3M | Health IT | |
| 2026BP1 | Luke’s Health System Received a Healthcare Infrastructure Support award for a mobile CT screening program serving Twin Falls County and Canyon County, providing cancer and cardiovascular screening, smoking cessation services, and cardiovascular risk assessment. | $1.6M | Population Health | |
| 2026BP1 | Shine Dental Co. Received approximately $1.53 million for a mobile dental clinic serving Kootenai, Bonner, and Benewah counties. | $1.5M | Quality Improvement | |
| 2026BP1 | Center for Behavioral Health Idaho Received Healthcare Infrastructure Support funding for two rural medication units in Twin Falls and Bonneville counties to improve access to opioid use disorder treatment. | $1.2M | Population Health | |
| 2026BP1 | Idaho Educational Services for the Deaf and the Blind Received funding for a mobile pediatric audiology clinic to bring specialized hearing testing for infants and young children into rural and frontier communities instead of requiring families to travel to regional specialty centers. | $898K | Health IT | |
| 2026BP1 | Southwest District Health Received $461,680 for its Community Integrated Mobile Care Infrastructure project, supporting two mobile healthcare vehicles and associated technology to serve Gem, Payette, and Washington counties initially. | $462K | Health IT |
Senator Crapo celebrated the allocation of $183 million in federal funding for rural health care in Idaho. The funding supports transformation efforts to improve health services in rural communities.
Idaho received $185.97 million in Year 1 and $182.7 million in Year 2 RHTP funding, supporting five major initiatives aimed at technology, EMS, workforce, population health, and infrastructure. More than 100 rural hospitals and providers received Year 1 subgrants. DHW's policy commitments and annual progress determine future funding levels. Key contacts: IdahoRHTP@dhw.idaho.gov Event schedule: - Year 1 award; Budget Period 1 begins - 12/29/2025 - Senate Bill 1453 signed - 04/10/2026 - End of first CMS reporting window - 07/31/2026 - Budget Period 1 ends - 10/30/2026 - Year 2 award announced - 11/09/2026 - Quarterly reports due; CMS refreshes funding data - 11/30/2026 - Presidential Fitness Test materials deadline - 12/31/2027
Event Schedule
Contacts
Core Initiatives
Illinois submitted an application for the Rural Health Transformation Program aimed at addressing significant rural healthcare gaps including workforce shortages, primary care deficits, mental health access, dental care, and high pregnancy-related mortality. The application reflects strong bipartisan support and alignment with CMS strategic priorities to uplift rural communities. Event schedule: - , 2025 - November 5 - Dr. Mehmet Oz
Event Schedule
Core Initiatives
This Notice of Funding Opportunity (NOFO) announces the application process for the Rural Health Transformation Program in fiscal year 2025. The document sets a November 5, 2025 deadline for submissions but does not list awardees or funding amounts. Event schedule: - Application Due Date - November 5, 2025
This analysis summarizes early progress in RHTP implementation after one year of federal funding. States face key deadlines for obligating and spending their first-year allocations, with wide variation in implementation speed and approach. Strategic goals focus on care delivery innovation, technology modernization, workforce expansion, and sustainable finance amid broader Medicaid challenges. Event schedule: - First year funding obligation deadline - 10/30/2026 - Funds expenditure deadline - 09/30/2027
Event Schedule
Core Initiatives
South Dakota has submitted a Rural Health Transformation Grant which has been approved. The state is requesting CMS assistance to protect the grant design information from FOIA disclosures to preserve the competitive bid process. Key contacts: Katherine Sapra Katherin.Sapra@cms.hhs.gov; Howard Pallotta
This draft bill establishes the Wyoming Rural Health Transformation Program, including a perpetuity fund, advisory committee, and annual distribution targets. It sets allowable expenditure categories, eligibility criteria, and accountability/reporting requirements for future rural health investments. The program aims to address rural hospital sustainability, EMS regionalization, workforce shortages, health IT adoption, care coordination, nutrition, and telehealth access. Event schedule: - Section 2 effective date - 2026-07-01 - Wyoming
Event Schedule
Core Initiatives
This legislative draft bill proposes the establishment of a Wyoming Rural Health Transformation Program to support public health improvements through grants, investments, and telehealth services. It includes governance structures, fiscal controls, and study directives.
This working draft bill proposes the establishment of a Wyoming Rural Health Transformation Program, including an advisory committee and a perpetuity fund with continuous appropriations. It authorizes investments, expenditures, grants, and awards aimed at transforming rural health services in the state.
The document highlights that states have submitted applications for the $50 billion Rural Health Transformation Program, but federal officials have withheld detailed award information pending review. Some states have released applications and budget narratives publicly, showing proposed innovative rural health projects. Event schedule: - State applications due - 11/01/2023 - Federal award announcements expected - 12/31/2023
Event Schedule
Core Initiatives
The document provides an interactive tool tracking state plans for the Rural Health Transformation program with $50 billion federal investment for rural healthcare over five years. It highlights ongoing analysis and data refresh to monitor program development and rural health system challenges and opportunities. Event schedule: - , 2026 - Feb 10 - -
Event Schedule
Core Initiatives
This document compiles and tracks the applications submitted by states for the $50 billion Rural Health Transformation Program as of February 10, 2026. It notes that CMS has not publicly released the applications and will announce allocations by December 31, 2025. Event schedule: - Application Deadline - 11/05/2025 - Federal Award Allocations Announcement - 12/31/2025
This document shares early implementation experience insights from RHTP highlighting that innovation in rural health transformation is driven by rapid learning and diffusion rather than novel technology. It emphasizes adaptive execution and continuous learning as key capabilities to achieve mandated outcomes under tight timelines.
The Centers for Medicare and Medicaid Services (CMS) awarded Idaho nearly $183 million in Rural Health Transformation Program (RHTP) funding. The initiative, connected to the Working Families Tax Cuts legislation, supports Idaho's efforts to enhance rural health care infrastructure, address workforce needs, and pilot innovative care models. This is part of a broader federal commitment, with Idaho projected to receive close to $1 billion from the program over its full course.
This document is a letter of support for Illinois related to the Rural Health Transformation Program. No funding details or strategic information are included.
Oct. 1, 2032
Final spending deadline
The final deadline for all spending is Oct. 1, 2032, with leftover funds being returned to the federal government.
Sep 30, 2031
Last day to spend Year 5 funds
September 30, 2031 is the last day to spend Year 5 funds.
Oct 31, 2029
Year 5 begins, the final funding year
Year 5, the final funding year, begins October 31, 2029.
Oct 31, 2028
Year 4 begins
Year 4 begins October 31, 2028.
Dec 31, 2027
Presidential Fitness Test materials deadline
Deadline for developing materials encouraging schools to bring back the Presidential Fitness Test.
Oct 31, 2027
Year 3 begins
Year 3 begins October 31, 2027.
Sept. 30, 2027
States spend first-year funding
States have until Sept. 30, 2027, to spend their first-year funding.
Sep 30, 2027
Year 1 funds must be spent
RHTP Year 1 funds must be spent by September 30, 2027.
early 2027
Wisconsin Tribal work begins
Tribal work begins in early 2027.
January 2027
Nevada Year 2 Tribal funding round planned
The Year 2 round is planned for January 2027.
Nov 30, 2026
Quarterly reports due; CMS refreshes funding data
Quarterly state reports are due and CMS updates funding data.
Nov 9, 2026
Year 2 award announced
CMS announces Idaho's Year 2 award under RHTP.
ID - 2025 - RHTP state profile · Idaho Idaho RHTP
ID - 2025 - Idaho's Year 1 RHT Award and Tribal Subgrant Announcement
ID - 2026 - Idaho receives $183 million more to boost rural healthcare affordability
ID - 2026 - RHT Project Award
ID state summary updated: transformationStrategy initiatives: 20 -> 5
Idaho’s RHTP advances rural healthcare transformation through coordinated, state-led initiatives administered by the Department of Health an…
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 143.
ID - 2026 - $183 Million CMS Grant to Idaho for Rural Health Transformation
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ID - 2026 - Idaho Receives $182.7M in Second Year of Federal Rural Health Grant
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ID - 2026 - Idaho to Receive 182 7M in Second Year of Federal Rural Health Transformation Grant
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ID - 2026 - Gritman Medical Center Awarded 11 6 Million in Rural Health Grants
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ID - 2026 - Idaho's Rural Healthcare Infrastructure Support Funding
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ID - 2026 - List of Eligible RHTP Cities and Population Class Definitions in Idaho
ID - 2026 - Idaho Rural Area Classification and Population Classes Listing
ID - 2026 - Cover Letter Template for RHTP – Behavioral Health Prevention Grant
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ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - BH Prevention
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - Cover Letter Template for Idaho RHTP – Substance Use Prevention Grant Request
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ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - SUD Prevention
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - RHTP Diabetes Prevention and Management Grant Application Cover Letter Template
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ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - Evaluation and Score – Idaho Cognitive Health Workforce Response Network
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ID - 2026 - Grant Request Letter Template for Idaho Cognitive Health Workforce Response Network
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ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - RHTP – Idaho Cognitive Care Pathway Network funding opportunity
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ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - Cover Letter Template for RHTP Chronic Disease Prevention and Cancer Screening Grant Proposal
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ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - Idaho RHTP – School-Based Family Support Hubs Grant Request Cover Letter Template
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ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - Idaho RHTP Grant Request Cover Letter Template
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ID - 2026 - 11. Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - Appendix I_RHTP Applicant Checklist
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ID - 2026 - 03. RHTP Stage 2 Budget Template Blank
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ID - 2026 - 02. RHTP Stage1 Budget Template DRAFT
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ID - 2026 - Appendix B: Rural Cities within Partially Urban Counties
ID - 2026 - Appendix G_Required Certifications and Assurances-RHTP
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ID - 2026 - RHTP Subgrant Solicitation Budget Template Blank
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ID - 2026 - RFP Quick Start Guide
Graphic of a map of the USA with Idaho hilighted.
Added Jun 15, 2026
ID - 2026 - 04. Healthcare Infrastructure Support Evaluation Criteria and Scoring
Evaluation Criteria and Scoring
ID - 2026 - Gritman Medical Center Awarded 11 6 Million in Rural Health Grants
Idaho RHTP Healthcare Infrastructure Support award announcement
ID - 2027 - Applicant Eligibility & Organizational Status FAQ for IDHW RHTP Healthcare Infrastructure Support (HIS) Solicitation
Applicant Eligibility & Organizational Status FAQ
ID - 2026 - RHTP Solicitation Webinar: Behavioral Health Prevention Programs
Pre-application webinar slides (Sept 2, 2026) — scope, eligibility, budget Q&A
ID - 2026 - Advanced More
Primary source
South Dakota and other states held public meetings and forums seeking input from rural providers before submitting RHTP applications. The $50 billion Rural Health Transformation Program, structured to balance equal and points-based allocations, has prompted concerns over fairness, rural Medicaid cuts, and the risk of funding favoring larger health systems over smaller hospitals. The program aims to foster innovation including workforce initiatives, telehealth expansion, and access improvements. Key contacts: Echo Kopplin; Michael Chameides; Sarah Jane Tribble sjtribble@kff.org; Arielle Zionts azionts@kff.org Event schedule: - State application deadline - 11/05/2025 - RHTP funding announcement (expected) - 12/31/2025
Event Schedule
Contacts
Core Initiatives
Wyoming will receive $205M in first-year Rural Health Transformation Program funding and proposes to invest 80% of this award in a perpetuity fund enabling ongoing annual distributions for rural health incentives and scholarships. The innovative approach aims to sustain rural health funding beyond the five-year federal window, with annual spending allocated to hospitals, EMS consolidation, and workforce scholarships. The plan requires federal approval and ongoing compliance with CMS regulations. Key contacts: Stefan Johansson; Arielle Zionts azionts@kff.org Event schedule: - CMS deadline for states to submit revised budgets - 01/30/2024 - CMS final approval deadline for updated materials - 03/01/2024 - Final federal spending deadline - 10/01/2032
Event Schedule
Contacts
Core Initiatives
Idaho awarded $186 million in Year 1 grant funding for the Rural Health Transformation Program, targeting workforce, infrastructure, and innovative technology to improve rural healthcare statewide. Awardees include hospitals, mobile clinics, health districts, and dental service providers, with investments spanning hearing, dental, behavioral health, preventive care, and clinic modernization. The initiative draws on broad public input and supports long-term, systemic improvements benefiting rural Idaho communities. Event schedule: - Award Announcement - October 28, 2026 - MT - Boise, Idaho
Event Schedule
Core Initiatives
Idaho was awarded $185.97M in Year 1 federal RHTP funds, with 3.5% set aside for the five federally recognized Tribes. Award notifications for Tribal proposals were issued July 30, 2026, with subgrant agreements being finalized. Tribal funding supports initiatives in technology, care models, workforce, chronic disease prevention, and infrastructure, aligned with Idaho's approved RHTP plan. Key contacts: Ashley Hesse; IdahoRHTP@dhw.idaho.gov Event schedule: - CMS awards Idaho Year 1 funds - 12/29/2025 - Idaho Legislature creates Rural Health Transformation Committee - 04/10/2026 - DHW issues Tribal award notifications - 07/30/2026 - Governor announces completed Year 1 awards - 10/28/2026 - Federal deadline to obligate Year 1 funds - 10/30/2026 - DHW webinar on rural health extenders - 11/09/2026 - Medicaid work requirements begin for expansion adults - 01/01/2027 - Outer limit to spend obligated Year 1 funds - 09/30/2027
Event Schedule
Contacts
Core Initiatives
The State of Illinois submitted its application for the 2025 Rural Health Transformation Program aiming to improve rural healthcare accessibility, workforce stability, financial viability of rural hospitals, and address significant primary care, mental health, dental care, and maternal health disparities in rural communities. Event schedule: - Application submission date - 11/05/2025
Event Schedule
Core Initiatives
Event Schedule
This document defines federal reporting requirements for the Idaho Rural Health Transformation Program and all state awardees. It explains annual and quarterly progress report formats, reporting deadlines, and use of funds protocols. The program offers $50 billion over five years for rural health transformation across 50 states, with reporting requirements tied to continued eligibility and funding. Event schedule: - First Annual Report Due - 08/31/2026 - 11:59 PM ET - GrantSolutions online portal - Second Annual Report Due - 08/30/2027 - Third Annual Report Due - 08/30/2028 - Fourth Annual Report Due - 08/30/2029 - Fifth Annual Report Due - 08/30/2030 - Final Report Due - 02/27/2031 - First Annual Report Due - 2026-08-31 - 23:59 EDT - Final Report Due - 2031-02-27
Event Schedule
Core Initiatives
Contacts
Core Initiatives
Core Initiatives
The Rural Health Transformation Program (RHTP) provides $50 billion to all 50 states from 2026–2030 to support rural health care, offsetting but not fully compensating for federal Medicaid cuts. CMS distributes funding based on a blend of equal share, state need, state initiatives, and policy factors. Early examples of state-funded projects include telerobotics in Alabama, medication drones in Alaska, new collaboration networks in California, and expanded home-based care in Michigan. Annual and quarterly reporting will track downstream recipient awardees and outcomes. Event schedule: - 2025 Reconciliation Law Enacted - July 4, 2025 - CMS Notice of Funding Opportunity Released - September 15, 2025 - State Application Deadline - November 5, 2025 - First-Year Awards Announced - December 29, 2025 - Annual Report Deadline - August 31, 2026 - State Obligation Deadline - October 30, 2026 - First Quarterly Report Deadline - November 29, 2026 - First-Year Spend Deadline - September 30, 2027
Event Schedule
Core Initiatives
Event Schedule
Core Initiatives
This brief analyzes the structure, distribution, and permitted uses of the Rural Health Transformation Program's $50 billion federal rural health fund, which offsets but does not fully replace Medicaid cuts in rural areas. All 50 states were approved for multi-year funding, with first-year awards ranging typically from $147 million up to $281 million per state. States are pursuing a wide variety of initiatives, including provider network development, telehealth expansion, nutrition improvement, technology investments, workforce recruitment and training, and support for innovative payment models. Event schedule: - 2025 reconciliation law enacted - 07/04/2025 - CMS NOFO release - 09/15/2025 - State application deadline - 11/05/2025 - CMS first-year awards announcement - 12/29/2025 - States submit annual report - 08/31/2026 - States obligate funding deadline - 10/30/2026 - States submit first quarterly report - 11/29/2026 - Final spend deadline for redistributed funds - 09/30/2032
Event Schedule
Core Initiatives
Document tracks and publicly catalogs state applications for the Rural Health Transformation Program as of early 2026. It notes the $50 billion federal funding total and the federal decision timeline, but does not provide any awarded amounts or subgrantee data. Event schedule: - Federal application deadline - 11/05/2025 - Planned federal award announcement - 12/31/2025 - Data collection status date - 02/10/2026
Event Schedule
Illinois Congressional Delegation strongly supports the state's 2025 RHT Program application, highlighting critical rural healthcare challenges such as workforce shortages, inadequate mental health and dental services, and high maternal mortality. The letter emphasizes the program's role in driving sustainable change to improve healthcare access and equity in rural Illinois communities. Event schedule: - Letter Date - 11/05/2025
Event Schedule
Core Initiatives
Illinois' Congressional Delegation expresses strong support for the state's RHT Program application emphasizing workforce retention, new rural health delivery models, and financial viability of rural hospitals. The letter outlines major rural health challenges including provider shortages and high maternal mortality rates. Event schedule: - Letter Date - 11/05/2025
Event Schedule
Core Initiatives