Arkansas’s Rural Health Transformation Program is currently in active implementation, with applications open for initiative funding through HEART, RISE, PACT, and THRIVE. The program focuses on improving access, population health, telehealth integration, workforce development, and emergency services modernization across high-need rural regions, guided by ongoing stakeholder input. Behavioral health transition services and community partnership networks remain priority focus areas. Current structured plan tracks 10 key initiatives and 8 strategic goals.
County-level estimates averaged across Arkansas — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
12.3%
+0.9pp
Uninsured (18–64)
13.9%
+1.5pp
Diabetes
41%
+3.5pp
Obesity
18.4%
+2.3pp
Current smoking
42.4%
+6.3pp
High blood pressure
35.1%
+7.4pp
Physical inactivity
8%
+1.1pp
Heart disease
4.3%
+0.6pp
Stroke
pp = percentage points vs US county average
County Drilldown (75)
County
Pop
Poverty
Uninsured
Pulaski County
399,818
16.7%
12.7%
Benton County
303,632
7.6%
5.4%
Washington County
256,765
14.6%
8.5%
Sebastian County
128,900
16.0%
11.0%
Faulkner County
127,717
14.5%
9.9%
Saline County
127,479
8.8%
6.2%
Craighead County
113,249
20.1%
14.5%
Garland County
100,035
15.8%
11.0%
White County
77,838
17.5%
14.1%
Lonoke County
75,272
10.4%
7.6%
Jefferson County
64,802
18.6%
14.8%
Pope County
64,131
16.9%
12.3%
Demographics
Total population
3.0MCensus ACS5 2024
Rural population
1.2MUSDA ERS RUCC 2023
Rural population %
39.6%USDA ERS RUCC 2023
Poverty rate
16.0%Census ACS5 2024
Median household income
$60,773Census ACS5 2024
Uninsured rate
11.5%Census ACS5 2024
CAH count
29HRSA GIS (live)
Rural hospital facilities
0AI extracted
Primary care HPSA
69HRSA Data Warehouse (GIS)
Dental HPSA
66HRSA Data Warehouse (GIS)
Mental health HPSA
10HRSA Data Warehouse (GIS)
MUA count
91HRSA Data Warehouse (GIS)
MUP count
1HRSA Data Warehouse (GIS)
FQHC facilities
232HRSA Data Warehouse (GIS)
RHC facilities
160HRSA Data Warehouse (GIS)
AI source: AR - 2026 - Arkansas RHTP
AI auto-updated Aug 8, 2026
API refreshed May 7, 2026
RHTP Strategic Goals
1Expand access to behavioral health, substance abuse, preventive care, supported housing, and essential health services for youth and adults in rural Arkansas.
2Improve health outcomes and reduce chronic disease by launching and evaluating preventive health, nutrition, and physical activity programs—including HEART and its sub-initiatives.
3Increase service availability for Medicaid members by funding rural infrastructure, supported housing, telehealth, workforce, and community-based program improvement.
4Enhance supportive living, transition, and daily assistance services to improve health, housing, and skill outcomes, especially for young adults transitioning from group or state custody.
5Strengthen workforce recruitment, skills development, and provider capacity through targeted investments in training, PACT, and RISE initiatives.
6Promote healthy lifestyles and reduce chronic disease and behavioral health disparities through community-driven, multi-sector interventions.
7Support organizational collaboration and partnership capacity with schools, job coaches, PASSE, healthcare, faith, criminal justice, and local stakeholders for improved community integration.
8Ensure compliance, transparency, and measurable outcomes through required data reporting, executive attestation, and continuous evaluation.
Worth to Notice / Recent Updates (6)
Key signals are summarized here. Open the source for the supporting detail.
Arkansas is actively soliciting detailed applications from potential subgrantees for the Rural Health Transformation Program, with multiple NOFOs now released for initiatives such as HEART, PACT, RISE, and THRIVE. The state is accepting proposals from eligible rural entities for sub-initiative funding under HEART and other core program components, but no sub-awards have been issued yet. The program is in the pre-award solicitation phase for these initiatives and remains in active implementation. Strategy alignment supports care access and prevention priorities. State opportunities: 1 active (1 closing soon, 3 past/closed), $149.8M listed funding. Key opportunities: Healthy Eating, Active Recreation, and Transformation (HEART); Promoting Access, Coordination, and Transformation (PACT); Recruitment, Innovation, Skills, & Education for Arkansas (RISE AR). Strategy alignment: supports workforce, prevention, telehealth priorities.
RHTP Strategy
Arkansas’s RHTP strategy focuses on practical, targeted solutions to strengthen rural health systems for Medicaid members and at-risk populations. The program leverages phased, grant-driven investment in technology, facility construction, supported housing, preventive health, and community partnerships—including major initiatives like HEART, PACT, RISE, and THRIVE. Evidence-based models, transparent funding, and outcome tracking support accountability and sustainable health improvements in rural regions.
Model
A statewide, grant-funded model requiring rural-serving organizations to demonstrate operational experience in behavioral health, substance abuse, supported housing, prevention, rural health, or health technology. Service delivery is anchored in multi-sector partnerships—schools, providers, community groups, and faith organizations—and targets workforce advancement, telehealth, infrastructure, and population health needs. Rigorous data, program evaluation, and compliance protocols ensure measurable results and long-term impact.
Key Initiatives
1Construct or renovate youth substance abuse treatment facilities across rural Arkansas, with phased planning and outcome-focused evaluation.
2Award competitive grants to purchase, renovate, or construct supported housing units for Medicaid-eligible young adults with behavioral health needs transitioning from group settings, requiring program evaluation and reporting.
3Fund organizations to deliver supportive living, transition, and daily assistance services in rural settings, especially for Medicaid members and young adults moving out of custody or group homes.
4Launch and expand HEART (Healthy Eating, Active Recreation, and Transformation) preventive health and wellness programs with school-based screenings (GROW Kids), nutrition access (FARM), activity infrastructure (MOVE), faith-based outreach (FAITH), workforce training (HEAL), and value-based pilots (IMPACT), coordinated by cross-sector partners.
5Implement PACT (Promoting Access, Coordination, and Transformation) for improved service coordination among rural health and behavioral health providers.
6Deploy RISE (Recruitment, Innovation, Skills, and Education) to strengthen workforce recruitment, training, and skills development for rural healthcare and behavioral health.
7Expand THRIVE (Telehealth, Health-monitoring, and Response Innovation for Vital Expansion) for telehealth and mobile health solutions, including technology investment and monitoring, to improve rural access.
8Build and formalize partnerships with school systems, job coaches, PASSE networks, criminal justice agencies, and local stakeholders to strengthen community-based care and integration.
9Improve tracking and reporting of Medicaid-funded outcomes in behavioral health, substance abuse, housing, skills, prevention, and population health domains, with required participation in data-driven evaluation.
10Require executive attestation of grant compliance, use of funds, and prevention of supplanting or Medicaid-reimbursable expenditures.
Timeline: Major RHTP facility construction, renovation, and initiative launches—including HEART, PACT, RISE, and THRIVE—are staged from 2024 through at least September 2027. Application and funding phases align with NOFO release and closing dates, milestone-based implementation, annual evaluations, and ongoing compliance monitoring.
Health Priority
Hospital vulnerability, poverty, and chronic disease
High-need rural counties, particularly in the Delta, Ozarks, and southwest Arkansas, face elevated hospital vulnerability, poverty, and chronic disease rates.
DeltaOzarksSouthwest Arkansas
Aug 11, 2026
Program Update
Arkansas is accepting applications for $3 million in grants to support housing for young adults with behavioral health needs aging out of state custody or group homes. Grants fund construction or renovation of physical infrastructure for transitional housing. Applicants must be Medicaid providers or have a pathway to enrollment and commit to required repo...
Jul 14, 2026
Program Update
HEART is a major initiative of the Arkansas Rural Health Transformation Program, focusing on prevention and wellness through coordinated sub-initiatives targeting nutrition, exercise, workforce, behavioral health, food access, and integrated care models. Funds are available for a range of partners including state agencies, schools, hospitals, community or...
Jun 23, 2026
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AR - 2026 - Accessibility Statement for Arkansas RHTP
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AR - 2026 - Newsroom - Arkansas Governor - Sarah Huckabee Sanders
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SupportingHTML2026Award: $209.0M
AR - 2026 - Sanders Announces Applications are Open for $209 Million in RHT Funds
Arkansas Department of Finance and Administration (DF&A)
Due Jul 10, 2026
7 related documents
Related documents7
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AR - 2025 - Sanders Announces Arkansas’ Application for Rural Health Funding
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Announcement Documents (3)
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AnnouncementJul 1, 2026TXT2026
This announcement marks one year since the launch of the Rural Health Transformation Fund and signals an ongoing conversation about the program’s impact and next steps. Maya Sandalow, associate director, is featured in the discussion. No additional program specifics or funding details are included.
This application narrative requires organizations to detail their structure, leadership, Medicaid provider status, operational experience, populations served, services offered, and staffing. Special emphasis is placed on behavioral health transition services and community partnership networks.
POPULATION_HEALTH · QUALITY_IMPROVEMENT · OTHER
Core Initiatives
Improve access to behavioral health support for adults
Enhance supportive living outcomes across housing, health, and skill domains
Increase Medicaid-funded service capacity for underserved and special populations
📝
ApplicationJul 14, 2026DOCX
This document outlines required attestation statements for organizations applying to a grant aimed at increasing services for Arkansas Medicaid members. Applicants must agree not to use funds for existing costs or Medicaid-reimbursable services and ensure compliance with reporting and grant requirements. Authorized signatories must provide a signed cover letter detailing their mission and grant objectives.
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ApplicationJul 14, 2026DOCX
This document is a grant application narrative template soliciting eligible organizations to apply for up to $3,000,000 in funding. It requires applicants to detail their organizational structure, experience providing behavioral health and transition services, populations served, and outcomes achieved. Emphasis is placed on serving children and young adults with behavioral health needs in rural Medicaid settings.
Guidance Documents (6)
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GuidanceJul 14, 2026DOCX
Applicants must provide a cover letter summarizing their mission and anticipated outcomes. The attestation section requires fiscal authority signoff and compliance with grant rules, including prohibitions on supplanting funds and lobbying expenses. Commitment to serving Arkansas Medicaid members is required.
QUALITY_IMPROVEMENT
Core Initiatives
Increase availability of services to Arkansas Medicaid Members
Comply with grant requirements and reporting
📝
GuidanceJul 14, 2026DOCX
This document outlines required content for applicants submitting a cover letter and attestation form as part of a grant application, including compliance statements and fiscal authority confirmation. It includes required assurances about use of funds and eligibility for Arkansas Medicaid Members.
Arkansas’s RHT Program addresses urgent rural health challenges including high rates of chronic disease, maternal mortality, and hospital closure risk. The plan utilizes evidence-based preventive interventions, modernizes technology infrastructure, expands telehealth and workforce, and launches community-driven initiatives such as the HEART and PACT programs. Over five years, Arkansas aims to reduce health disparities in rural regions, strengthen provider networks, and ensure sustainable access to care.
Event schedule:
- Version 6 document update - 03/31/2026
- Presidential Fitness Test implementation target - 12/31/2028 - Arkansas public schools
- Pharmacist scope of practice legislative enactment target - 12/31/2027 - Arkansas State Legislature
- HEART Initiative Stage 0 - FY26 Q1
- HEART Initiative Stage 1 - FY27 Q1
- HEART Initiative Stage 2 - FY28 Q3
- HEART Initiative Stage 3 - FY30 Q1
- HEART Initiative Stage 4 - FY31 Q1
Make Rural America Healthy Again through evidence-based interventions for disease prevention, chronic disease management, behavioral health, and prenatal care.
Foster innovative technologies for efficient care delivery, data sharing, and remote care.
Workforce Development: Attract and retain high skilled providers; enable rural providers to practice at top of license.
Show all initiatives (9)
Make Rural America Healthy Again through evidence-based interventions for disease prevention, chronic disease management, behavioral health, and prenatal care.
Foster innovative technologies for efficient care delivery, data sharing, and remote care.
Workforce Development: Attract and retain high skilled providers; enable rural providers to practice at top of license.
Strengthen rural providers through networks, shared resources, coordinated operations.
Help rural providers remain long-term access points for care.
Event schedule:
- , 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
- , 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis
- , 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care
- , 2026 - Jun 17 - HRSA to award grants supporting integrated networks among rural hospitals, other providers
- , 2026 - Jun 16 - HRSA seeking applicants for rural hospital financial assistance program
- , 2026 - Jun 12 - House Appropriations Committee releases FY 2027 appropriations bill
- , 2026 - Jun 5 - House introduces Rural Community Hospital Demonstration extension bill
- , 2026 - May 22 - House bill excludes labor and delivery beds from critical access hospital 25-bed limit
Event Schedule
, 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
, 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis
, 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care
Show all schedule items (8)
, 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
, 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis
, 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care
, 2026 - Jun 17 - HRSA to award grants supporting integrated networks among rural hospitals, other providers
, 2026 - Jun 16 - HRSA seeking applicants for rural hospital financial assistance program
, 2026 - Jun 12 - House Appropriations Committee releases FY 2027 appropriations bill
, 2026 - Jun 5 - House introduces Rural Community Hospital Demonstration extension bill
, 2026 - May 22 - House bill excludes labor and delivery beds from critical access hospital 25-bed limit
This bipartisan Senate letter urges CMS to adjust RHTP implementation to increase support for frontline rural providers, particularly smaller and independent hospitals and clinics. The letter calls for increased flexibility on infrastructure, EHR, and HIT investments and encourages direct support to under-resourced rural facilities. Recommendations center on improving access to RHTP funding and ensuring program flexibility to address on-the-ground rural health challenges.
WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · FINANCE · OTHER
Core Initiatives
Ensure frontline rural providers receive RHTP support
Expand flexibility in use of RHTP funds for rural health priorities
Enhance rural provider access to capital and technology improvements
Show all initiatives (4)
Ensure frontline rural providers receive RHTP support
Expand flexibility in use of RHTP funds for rural health priorities
Enhance rural provider access to capital and technology improvements
Safeguard smaller and independent rural providers' participation
The document is a high-level navigation or information page from the American Hospital Association website referencing rural health topics and resources. It contains no specific information on RHTP awards, programs, or funding details.
Other Documents (1)
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OtherApr 15, 2026HTML
The landing page is for the Arkansas Rural Health Transformation Program Application, indicating the program's active outreach and administrative support. Details about the specific program components and eligibility are not given in the visible content.
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
AR - 2026 - Budget Plan
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AR - 2027 - procurement announcements
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AR - 2026 - news feed
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AR - 2026 - RISE AR Recruitment, Innovation, Skills, & Education for Arkansas Healthcare NOFO Announcement
Program page
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
PrimaryPDF2026Budget: $93.7M
AR - 2026 - Notice of Funding Opportunity: Promoting Access, Coordination, and Transformation (PACT)
AR - 2026 - View the PACT NOFO document here.
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AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Budget Template - PACT
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AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Facility Information Template - PACT
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AR - 2026 - Project Plan Template.xlsx
Project Plan Template - PACT
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AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
Financial Information Template - PACT
The AHA urges CMS to prioritize and streamline state applications for the Rural Health Transformation Program, emphasizing the importance of hospital payments, workforce investments, infrastructure modernization, and telehealth expansion. The letter advocates for flexible application deadlines, transparency in fund allocation, and the removal of pre-funding requirements to help financially vulnerable hospitals. The AHA stresses the need for targeted, timely support to sustain access to care in rural communities. Key contacts: Joanna Hiatt Kim jkim@aha.org
Event schedule:
- AHA Letter to CMS submission - 08/11/2025
Budget: $50.0BFINANCE · WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · QUALITY_IMPROVEMENT · OTHER
Contacts
Joanna Hiatt Kim - <jkim@aha.org> - AHA Vice President of Payment Policy - National (AHA/CMS advocacy)
Core Initiatives
Stabilize, modernize, and sustain rural hospitals.
Prioritize direct payments to hospitals through the RHTP.
Support rural workforce recruitment and retention.
Show all initiatives (5)
Stabilize, modernize, and sustain rural hospitals.
Prioritize direct payments to hospitals through the RHTP.
Support rural workforce recruitment and retention.
Invest in hospital infrastructure and telehealth capabilities.
Ensure a simple, transparent state application and award process.
Arkansas has submitted its application to CMS for Rural Health Transformation Program funding, focusing on four major initiatives: HEART (nutrition and chronic disease management), PACT (integrating specialty care and telehealth), RISE AR (workforce development), and THRIVE (technology-enabled monitoring and emergency services modernization). The application was shaped with input from statewide stakeholders and emphasizes technology, prevention, and community-driven approaches.
Event schedule:
- Arkansas Application Submission to CMS - 10/31/2025 - CT - Little Rock, Arkansas
- CMS Award Determination Deadline - 12/31/2025
- Expected First Disbursement to State
Expand supportive housing and daily assistance services for children and young adults with behavioral health needs
Improve health and mental health outcomes through enhanced Medicaid-funded programs
Strengthen organizational capacity and partnerships with community stakeholders
This comprehensive applicant guide details the full Rural Health Transformation Program (RHTP) application process for Arkansas, including eligibility, required documentation, application navigation, and budget templates. It outlines sub-initiatives under HEART, RISE AR, PACT, and THRIVE that applicants may align with, covering a wide range of activities from clinical integration to EMS modernization and workforce development. The guide provides detailed instructions for completing each section of the application and emphasizes alignment with rural health priorities.
Arkansas's RHTP budget narrative organizes $208M across four major initiatives addressing nutrition, care access, workforce, and telehealth/infrastructure. BDO GS is the third-party administrator for contracting and oversight; all subawards will be competitively issued under CMS guidance. The strategy emphasizes transparent processes, measurable outcomes, and programmatic alignment with federal rural health priorities. Key contacts: Brad Nye
Event schedule:
- BDO GS Hiring Deadline - 03/21/2026
Strengthen rural healthcare access and sustainability
Promote innovation across rural health delivery
Advance workforce development and retention
Show all initiatives (9)
Strengthen rural healthcare access and sustainability
Promote innovation across rural health delivery
Advance workforce development and retention
Increase rural technological connectivity
Ensure infrastructure resilience
Supports development and distribution of training curricula to build leadership capacity and support workforce development across participating organizations.
Supports operation of a leadership academy to provide training, mentorship, and development opportunities for healthcare leaders.
Supports implementation of technology platforms to deliver training content, facilitate collaboration, and support program administration.
Supports ArkGME operations to establish and implement a statewide graduate medical education (GME) expansion initiative, including creation of the Arkansas GME Technical Assistance Center (ArkGME-TAC) to coordinate program development, accreditation support, and training infrastructure.
Arkansas’s Rural Health Transformation Program (RHTP) addresses dire rural health access, hospital sustainability, and chronic disease, aiming to transform systems over five years with $150 million in coordinated state and federal funding. Major goals include improving maternal, chronic, and behavioral health, deploying new telehealth and information technology, building integrated care networks, and expanding the rural health workforce. Selected initiatives include large-scale prevention efforts (nutrition, activity, chronic disease), transportation and EMS upgrades, workforce education, and facility improvement strategies.
Scope of Practice Expansion Legislation Introduction - 2027
Core Initiatives
Improve health access and outcomes in rural Arkansas, especially in high need regions.
Expand hospital, behavioral, emergency, and maternal healthcare access in rural communities.
Use technology (telehealth, data sharing, AI, health information exchanges) to improve care delivery and coordination.
Show all initiatives (21)
Improve health access and outcomes in rural Arkansas, especially in high need regions.
Expand hospital, behavioral, emergency, and maternal healthcare access in rural communities.
Use technology (telehealth, data sharing, AI, health information exchanges) to improve care delivery and coordination.
Recruit, train, and retain rural workforce including expanded scopes of practice and leadership development.
Foster partnerships via integrated rural care networks and regional collaboration.
Promote financial solvency through value-based payment, facility scaling, and sustainability.
Workforce Development
Innovative Care, Tech Innovation
Launch programs to Make Arkansas Healthy Again with scalable, replicable models
Strengthen the healthcare workforce without creating dependency on RHT Program funds
Create new revenue streams and care delivery models supporting provider transition to value-based payment models
Provide one-time, strategic investments in infrastructure and technology to transform rural care delivery
strengthening access, sustainability, and innovation across the state’s rural healthcare system
promote wellness
advance system modernization
develop healthcare workforce
increase technological connectivity
ensure infrastructure resilience
Recruitment, Innovation, Skills, and Education for AR Healthcare (RISE AR)
Telehealth, Health-monitoring, and Response Innovation for Vital Expansion (THRIVE)
Administrative Costs
A bipartisan group of U.S. senators formally urged CMS to improve the implementation and flexibility of the Rural Health Transformation Program. The letter highlights concerns around current RHTP guidance and suggests further steps, such as lifting caps on infrastructure funding and clarifying provider payments. CMS's recent clarification allowing workforce recruitment, infrastructure investments, and technical assistance is described as positive but insufficient.
Event schedule:
- Senate letter urging CMS improvements - 06/18/2026
WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · OTHER
Event Schedule
Senate letter urging CMS improvements - 06/18/2026
Core Initiatives
Improve flexibility and viability for rural hospitals in RHTP.
Support workforce recruitment and retention, infrastructure, and technical assistance.
Lift infrastructure and capital improvement caps for rural providers.
AR - 2026 - ARPA Grants - Arkansas Department of Human Services
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AR - 2026 - 15 Community Action Agencies
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Arkansas April 29, 2026 The Honorable Shelley Moore Capito Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S.
2027 · PDF
Arkansas April 29, 2026 The Honorable Robert Aderholt Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S. House
2027 · PDF
Arkansas AHA Submits Requests To Senate For FY 2027 Health Care Program Funding RHTP 2026-2004 Reference