# Federal — Rural Health Transformation Program (RHTP)

The Federal Rural Health Transformation Program (RHTP), established by Public Law 119-21, distributes funding over five fiscal years from 2026 to 2030 to all U.S. states, with allocations divided among states based on approved transformation plans and rural-specific factors. Currently in its application and early implementation phase, RHTP directs states to invest in evidence-based interventions, workforce development, technology innovation, and sustainable access, with structured planning, reporting, and accountability measures required. States submit comprehensive plans encompassing key initiatives to address priority rural health needs and improve measurable outcomes under federal guidance. Current structured plan tracks 14 key initiatives and 14 strategic goals.

## At a glance

- Federal awards to date: $20,000,000,000 (Year 1 $10.00B + Year 2 $10.00B)
- Implementation phase (RCJ): IMPLEMENTING
- Funding opportunities tracked: 3 (0 open or announced, 3 closed)
- Awards recorded: $694,200 to 1 recipients
- Critical Access Hospitals: 0
- Rural population share: 25%

## Current progress

States have begun issuing their own grant opportunities and investments through the Rural Health Transformation Program, with major announcements for workforce, hospital modernization, and provider awards in multiple states. Illinois has launched over $30 million in provider-focused technology updates, and at least 28 rural healthcare providers in Texas are receiving funds. States are progressing from planning to action, with growing evidence of state-level procurements and downstream awards. Details on further subgrants and program activities are emerging as implementation continues.

## Open and announced opportunities

None open right now.

## Closed opportunities (3, most recent first)

- [Delta States Rural Development Network Program (HRSA-26-045)](https://www.ruralcarejourney.com/opportunities/delta-states-rural-development-network-program-hrsa-26-045--7ca19a920a) — NOFO; Closed; due 2026-08-12; state-funded, not RHTP
- [Rural Health Transformation Program (RHTP)](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-rhtp--88d72fff3e) — AWARD; Closed; due 2025-11-05; $50.00B
- [Rural Health Transformation Program - Notice of Funding Opportunity (CMS-RHT-26-001)](https://www.ruralcarejourney.com/opportunities/rural-health-transformation-program-notice-of-funding-opportunity-cms-rht-26-001--181779b5d6) — NOFO; Closed; due 2025-11-05; $50.00B

## Largest recorded awards

- Alaska Workforce Initiative — $694,200 (FY2025-2026)

## Official sources RCJ monitors

- [US CMS RHTP Newsroom](https://www.cms.gov/about-cms/contact/newsroom)
- [US RHTP Primary](https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview)
- [CMS Medicaid.gov: RHT Program (official hub + award news feed)](https://www.medicaid.gov/resources-for-states/rural-health)
- [US RHTP Primary](https://www.cms.gov/RHTProgram)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/states/us — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.