Rural Health Transformation funding, state by state.
The money went to the states. What reaches a hospital or clinic depends on each state's rounds, dates and rules. Here are all 50 in one place, from the official record, with what is open right now.
Built by Jeff Paul, JP Healthcare Advisors. Who I am and how to reach me
- First-year awards, all 50 states
- $10.0B
- Part of $50 billion over five years.
- Reported put to work
- $4.0B
- 40% of the awards, as of Jul 31, 2026.
- Next deadline
- Nov 9
- Maine: Remote Patient Monitoring grants for home health agencies and health care organizations
CMS says it will refresh the state figures after the November 30, 2026 quarterly reports. How to read these numbers
How far along is each state?
Pick a measure. Choose a state to see its rounds, and where its money has gone so far. The put-to-work figures stop at July 31, so a state that looks behind may have moved a lot since. Its page shows what CMS has announced after that date.
Closing soon
These dates come from each state's own notice. Confirm with the state before you plan around one.
- Nov 9, 2026OpenMaineRemote Patient Monitoring grants for home health agencies and health care organizationsMaine RHTP / MCD
A grant to provider organizations, separate from Maine's partner service agreements. The page gives no cutoff time.
Read the official notice ↗Checked Nov 9, 2026.
- Nov 9, 2026OpenMaineProvider-to-Provider Specialty Consultation grants for primary care organizationsMaine RHTP / MCD
A grant to provider organizations, separate from Maine's partner service agreements. The page gives no cutoff time.
Read the official notice ↗Checked Nov 9, 2026.
- Nov 9, 2026OpenMassachusettsRural Partners RFA (BD-27-1039-EHS01-EHS01-134186)Massachusetts RHTP / EOHHS
The state's bid portal shows a November 9, 5 p.m. opening and has been amended. An older field on the page still says October 26, so read the latest amendment before you submit.
Read the official notice ↗Checked Nov 9, 2026.
- Nov 9, 2026OpenNebraskaRural Health Catalyst Fund Cohort 1NETECH
Initial target awards range from $250,000 to $1,000,000
Run by a state-designated administrator. Rules on organization age, prior funding and rural impact apply. All Cohort 1 payments must finish by September 30, 2027.
Read the official notice ↗Checked Nov 9, 2026.
- Nov 12, 2026OpenNew HampshireCritical Access Hospital and Acute Care Hospital RFAFHC GO-NORTH
This is the priority deadline. Rolling applications are also allowed while funds remain.
Read the official notice ↗Checked Nov 9, 2026.
Funding is one part of the job
A round can pay for the work. It cannot give you an owner, a plan your board trusts, or a go-live your staff believe in. That is the work I do with community and rural hospitals.
Thirty minutes, confidential, no cost.
Who built this
Jeff Paul
Founder & Principal, JP Healthcare Advisors
During eight years at Cerner, I worked across 170+ healthcare technology deployments. My deepest specialization was CommunityWorks: more than 90 community, rural, district, and critical-access hospitals in 34 states, including 62 critical-access hospitals.
Where the money has gone so far
What states told CMS they had put to work through Jul 31, 2026, by the categories in the report.
- Workforce$651M
- Appropriate care availability$566M
- Prevention and chronic disease$481M
- IT advances$476M
- Innovative care$318M
- Program administration$293M
- Capital and infrastructure$275M
- Training and technical assistance$204M
- Fostering collaboration$194M
- Not categorized in the report$192M
- Provider payments$133M
- Behavioral health$125M
- Consumer technology$81.9M
Nine states' category lines do not add up exactly to their totals, so these bars sum to a little more than the headline figure. Details
How this money reaches a hospital
Only the 50 states can apply to CMS.
Hospitals, clinics, tribes and others take part through subawards or partnerships, if their state includes them.
Each state runs its own rounds.
Dates, eligibility and amounts differ from state to state, and from round to round inside one state.
The clock is real.
A state can commit money only during the budget period it was awarded for. What it fails to commit in time goes back to CMS and can be redistributed to other states. Budget period 1 ended October 30, 2026.
What CMS has announced lately
CMS has been publishing state-by-state announcements of what the money is doing.
- Missouri · Oct 30, 2026$39.7 Million to Modernize Rural Healthcare Across Missouri ↗
- West Virginia · Oct 30, 2026More Than $19 Million to Expand Telehealth, Specialty Care, and the Healthcare Workforce Across West Virginia ↗
- California · Oct 29, 2026More Than $233 Million to Improve Rural Healthcare Services Across California ↗
- Texas · Oct 29, 2026$87 Million for 129 Rural Healthcare Providers Across Texas ↗
- Idaho · Oct 28, 2026Nearly $186 Million to Expand Rural Healthcare Access, Modernize Technology, and Grow the Healthcare Workforce Across Idaho ↗
- Georgia · Oct 23, 2026Nearly $219 Million to Expand the Rural Healthcare Workforce and Advance Technology-Enabled Care Across Georgia ↗
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First-year award figures: $10.0B total, from the CMS announcement of December 29, 2025.