Tennessee

The Rural Health Transformation (RHT) Program is a $50 billion initiative spanning FY2026–2030 to support system-wide change in rural health delivery nationwide. States compete for federal cooperative agreements to improve health care access, quality, sustainability, and capacity through technology innovation, workforce recruitment, and new payment and care models. Key priorities include chronic disease management, behavioral health, health IT, and sustainable rural provider access. Key contacts: MAHARural@cms.hhs.gov Event schedule: - NOFO release (expected) - September 15, 2025 - grants.gov - Applicant Webinar - September 19, 2025 - Application submissions close - November 2025 - Awards announced by - December 31, 2025

The Tennessee Department of Health announced $206 million in RHTP federal funding, supporting 53 local projects across 44 counties. Projects focus on improving nutrition, physical activity, and social supports for rural Tennesseans, with special attention to economically distressed counties. 58% of awards went to county and municipal governments, and 42% to community nonprofits. Event schedule: - Announcement date - 09/03/2026 - 2:00 PM CT - Nashville

This amendment sets the available funding for Tennessee's RAMP at $100 million for FY 2027–2031, distributed through multiple large and small capital investment awards targeting rural hospitals, clinics, and primary care providers. Funding priorities include facility modernization, expansion of rural care delivery, and improvements in critical health infrastructure, especially for primary care, pediatrics, and obstetrics. Grant matching is required for large awards, but rural distressed/at-risk counties are exempt for certain amounts. Event schedule: - RFA Issued - Pre-response Teleconference - 2:00 p.m. CT - Webex Teleconference-20260806 1754-1 - Written Questions & Comments Deadline - 2:00 p.m. CT - Deadline for Applications - 09/30/2026 - 2:00 p.m. CT - Evaluation Notice Released - 11/09/2026 - Effective Start Date of Contract - 12/15/2026

This document amends the original RFA for Tennessee's Rural Health Access Modernization Program (RAMP) with updated scheduled events and dates for the 2026 procurement cycle. Event schedule: - Pre-response Teleconference - 2:00 p.m. CT - Written “Questions & Comments” Deadline - 2:00 p.m. CT - State Response to Written “Questions & Comments” - August 26, 2026 - CT - Deadline for Applications - September 30, 2026 - 2:00 p.m. CT - Evaluation Notice Released - November 9, 2026 - CT - Effective Start Date of Contract - December 15, 2026 - CT

Tennessee is preparing for a major federal investment in rural health transformation through the Rural Health Transformation Program (RHTP) with over $104 million in state-directed funding allocated for FY27. Multiple competitive grant opportunities and RFPs are available for rural hospitals, FQHCs, nonprofits, and community-based organizations statewide. Funding prioritizes workforce development, behavioral health, chronic disease prevention, telehealth, maternal and infant wellness, and rural health clinic sustainability. Key contacts: Jessica James Competitive.Health@tn.gov Event schedule: - MaRTHA Grant Opportunity Closes - 08/03/2026 - CT - HRP: Health Technology and Innovation Grant Opportunity Closes - 08/03/2026 - CT - Rural Fetal and Infant Wellness Initiative Grant Opportunity Closes - 08/06/2026 - CT - Stillbirth Funeral Assistance Application Deadline - 10/23/2026 - 2:00 PM CT - Perinatal Behavioral Health Workforce Development Project Application Deadline - 09/28/2026 - 2:00 PM CT

This document is an amendment to the Request for Grant Proposal for Tennessee's Rural Fetal and Infant Health Initiative. It clarifies the schedule, key dates, and logistical questions regarding the procurement process. The amendment does not modify substantive program requirements. Event schedule: - Pre-proposal Teleconference - 07/13/2026 - 2:00 PM CT - Webex - Written Questions & Comments Deadline - 07/23/2026 - 2:00 PM CT - State Response to Written Questions & Comments - 07/27/2026 - Proposal Deadline - 08/06/2026 - 2:00 PM CT - State Completion of Organizational & Technical Grant Proposal Evaluations - 08/20/2026 - 2:00 PM CT - State Scoring of Grant Budgets - 08/20/2026 - 3:00 PM CT - Evaluation Notice Released - 08/21/2026 - Contractor Contract Signature Deadline - 09/16/2026

This report outlines the findings and recommendations developed by the Tennessee Rural Health Care Task Force during its 2022-2023 term. It presents a comprehensive strategic vision and budget proposals to improve rural access to care, transform the health care workforce, address social drivers of health, and sustain rural hospitals. The recommendations include establishing a Center of Excellence, new funding models, workforce pathways, and telemedicine investments.

The Tennessee Maternal Health Strategic Plan (MHSP) 2025-2030 is a comprehensive approach to reducing maternal morbidity and mortality in Tennessee through quality improvement, workforce strengthening, and addressing social determinants of health. The plan is supported by a $2.17 million HRSA award and includes clear performance targets and indicators. Key strategies target rural, high-need, and at-risk populations with a cross-sector partnership approach.

This application proposes a comprehensive $125 million investment in rural health transformation across Tennessee, with a focus on access, workforce, technology, and prevention. Major strategies include competitive grants for facility upgrades, EMS and mobile health expansions, primary/dental care access for the uninsured, workforce training pipelines, and sweeping policy modernization. Rural Tennessee's health challenges—chronic disease, maternal mortality, provider shortages, hospital financial distress—are directly targeted through coordinated initiatives and statewide collaboration.

This document provides instructions and a line-item template for grantees under the Rural Health Transformation Program to submit budget details for the grant period FY 2027, including guidance on allowable cost categories, expense tracking, and terms for budget submission. No funding amounts or awardees are specified. It is intended for finance and grant administration. Event schedule: - Template Updated - 11/07/2025 - Budget Period Start - 12/15/2026 - Budget Period End - 06/30/2027

This is a grant contract template for Tennessee's Rural Health Access Modernization Program, supporting capital projects for rural hospitals and clinics. It funds facility construction/renovation, equipment, and IT to address rural healthcare needs. The contract outlines program goals, eligibility, fiscal and reporting requirements, and contacts. Key contacts: Mindy Goff RuralHealth@tn.gov Event schedule: - Contract Start Date - 12/15/2026 - Contract End Date - 06/30/2031