Rural Health Transformation funding in Iowa
- First-year award
- $209M
- Reported put to work, as of Jul 31, 2026
- $192M
- 92% of the award
- This figure stops at Jul 31, 2026. CMS has announced more for Iowa since. See below.
- Application rounds open today
- 1
Rounds to look at
- Nov 17, 2026OpenCardiovascular Health Hub Program (COMPADM26007)Iowa Healthy Hometowns
$33.4M. Approximate total first contract-year pool; number of awards undetermined.
Due at noon Iowa time. The mandatory letter-of-intent date, October 19, has passed. The first contract period is anticipated for January 29 to October 30, 2027.
Read the official notice ↗Checked Nov 9, 2026.
What the state review found, as of Nov 7, 2026
The Cardiovascular Health Hub RFP has a November 17 noon application deadline, but applicants needed a mandatory letter of intent by October 19. It is therefore a current application opportunity for entities that satisfied that earlier requirement.
Where Iowa's money has gone so far
As Iowa reported it to CMS through Jul 31, 2026. These are commitments to agencies, contractors and partners, not a measure of what has reached patients.
- Appropriate care availability$107M
- Capital and infrastructure$24.8M
- Workforce$18.4M
- IT advances$11.8M
- Prevention and chronic disease$9.1M
- Program administration$6.9M
- Training and technical assistance$6M
- Provider payments$1.1M
- Fostering collaboration$750K
- Behavioral health$250K
Read the detail with care. CMS's category lines for Iowa differ from its headline by $5,467,801. The line items below differ from the headline by $150,000. The report misprints an amount for Capital Expenditures and Infrastructure ($5,4967,800.72), so it is left out of the category totals. The figures are shown as CMS printed them.
Initiative detail
Hometown Connections$148M
- $7.8MComputed tomography (CT) scanners, expanding rural access to advanced diagnostic imaging. (Appropriate care availability)
- $24.4MFixed-site magnetic resonance imaging (MRI) machines, improving rural access to advanced diagnostics. (Appropriate care availability)
- $39.1MRobotic surgical systems, increasing rural access to advanced robotic surgical procedures. (Appropriate care availability)
- $12.5MPositron emission tomography (PET)/CT systems, improving rural access to advanced nuclear imaging and diagnostics. (Appropriate care availability)
- $242KUltrasound equipment, increasing rural access to obstetric and diagnostic imaging. (Appropriate care availability)
- $466KX-ray equipment, expanding rural access to advanced imaging including orthopedic and scoliosis scans. (Appropriate care availability)
- $1.2MRobotic diagnostic and biopsy systems, supporting advanced pulmonary diagnostics. (Appropriate care availability)
- $2.4MOther diagnostic and imaging equipment, including nuclear imaging, lab analyzers, mammography, endoscopy, and fluoroscopy. (Appropriate care availability)
- $1MMaternal and child health programs and equipment, expanding rural access to obstetric and pediatric care. (Appropriate care availability)
- $700KCare coordination and chronic disease management programs, improving rural patient care navigation. (Appropriate care availability)
- $6MMajor equipment, including a linear accelerator and a hyperbaric oxygen chamber. (Appropriate care availability)
- $250KEstablishing a behavioral health substance use disorder (SUD) recovery center of excellence, including expanding access to SUD treatment, formalizing referral pathways and care coordination, expanding community education and school-based prevention, and implementing a robust data and evaluation system. (Behavioral health)
- $10.7MMinor building renovations. (Capital and infrastructure)
- $965KNew 3D mammography unit and upgraded digital mammography unit, increasing rural access to advanced breast imaging. (Capital and infrastructure)
- $502KNew endoscopy system that ensures continued access to endoscopy for rural patients. (Capital and infrastructure)
- $5.8MNew on-site CT scanners proving increased rural access to advanced imaging, including cardiac CT, neuro perfusion, operating room oncology protocols, and bariatric patient support. (Capital and infrastructure)
- $5.3MOn-site MRI machines providing increased rural access for advanced imaging, including new imaging scans for breast, prostate, rectal, and pacemakers. (Capital and infrastructure)
- $500KNew overhead support X-ray systems providing increased rural access to advanced imaging, including spinal stitching and trauma mapping as new services. (Capital and infrastructure)
- $837KNew telemetry system to ensure continued and expanded rural access to advanced monitoring. (Capital and infrastructure)
- $154KNew ultrasound console system providing increased rural access to advanced imaging, including expanded vascular capabilities and pediatric abdominal, renal, and soft-tissue imaging. (Capital and infrastructure)
- $100KEstablishing a hub and spoke network focusing on chronic disease management and prevention, including diabetes, cardiovascular disease, heart failure, neurological conditions, cancer, and chronic obstructive pulmonary disease (COPD) and asthma. (Fostering collaboration)
- $250KImplementing a coordinated, community-based maternal health model integrating behavioral health, social services, and healthcare to improve perinatal outcomes and improving sustainability. (Fostering collaboration)
- $250KEstablishing formal maternal health partnerships with federally qualified health centers (FQHC) and surrounding hospitals that establishes a primary labor and delivery site, increasing access to perinatal services at local community health centers, and work to grant privileges to partner facilities. (Fostering collaboration)
- $200KImplementing cancer screening navigation program, expanding cancer prevention education and modifying risk factors, and survivorship programs. (Prevention and chronic disease)
- $250KImplementing an Integrated Care Model that uses a collaborative approach across physicians, nursing staff, physical therapy, occupational therapy, speech therapy, and respiratory therapy, expanding the model to increase the number of health coaches and outpatient dietician services. (Prevention and chronic disease)
- $2MTo aid healthcare organizations in developing hub and spoke models of care. (Training and technical assistance)
- $18.3MRecruitment bonuses for eligible provider types, which require a 5-year service commitment in rural areas and no non-compete agreement. (Workforce)
- $5.2MAdministrative costs associated with equipment procurement and installation. (Program administration)
Combat Cancer: Prevent and Treat$28.6M
- $11.1MEstablishing hub and spoke cancer networks including one hub facility and three surrounding spoke sites that expand access to advanced diagnostics, oncology surgery, screening, and coordination of care through formalized partnership agreements and clinical workforce development. (Appropriate care availability)
- $750KMinor building renovations. (Capital and infrastructure)
- $4.7MUpgrading and replacing capital medical equipment to increase access to advanced cancer care, including upgrading linear accelerator software, upgrading to 3D mammography to improve rural access to advanced imaging, and upgrading components of existing MRI. Minor renovations to accommodate local access to advanced imaging and chemotherapy. (Capital and infrastructure)
- $6.2MA comprehensive cancer mitigation program including radon testing, radon mitigation, radon credentialing, dermatoscope distribution, telehealth tablet distribution, and cancer screening knowledge and risk reduction. (Prevention and chronic disease)
- $1.8MA comprehensive evaluation of evidence-based interventions to reduce cancer burden in rural Iowa including identifying county clusters and implementing cancer prevention and screening in target areas. (Prevention and chronic disease)
- $598KExpanding the Iowa Cancer Affiliate Network (ICAN) to expand rural access to cancer services, improving cancer care and cancer screening through cancer outreach and messaging. (Prevention and chronic disease)
- $1.1MPayments and reimbursements for cancer screening, diagnostics, and treatments for uninsured patients. (Provider payments)
- $2MTo aid healthcare organizations in developing hub and spoke models of care. (Training and technical assistance)
- $120KRecruitment and retention bonuses for eligible provider types, which require a 5-year service commitment in rural areas and no non-compete agreement. (Workforce)
- $181KAdministrative costs associated with establishing a hub and spoke cancer network and program implementation. (Program administration)
Communities of Care$2M
- $29KProcuring telehealth supplies to address chronic disease needs of children and youth with special health needs, including computers, tablets, and mobile carts for telehealth setup. (Appropriate care availability)
- $2MTo aid organizations in developing co-location sites. (Training and technical assistance)
Health Information Exchange$11.8M
- $11.7MImplementation of Iowa's new Health Information Exchange. (IT advances)
- $114KImplementation of Iowa's new Health Information Exchange. (Program administration)
Emergency Medical Service (EMS) Community Care Mobile$66K
- $66KConnecting the Community Health module to the statewide EMS and Trauma Registries, including specialized electronic medical record solution for mobile integrated health programs and operationalized data collection for perinatal programs. (IT advances)
Program operations$1.8M
- $411KProcuring and distributing dental health supplies to Iowan communities. (Appropriate care availability)
- $1.4MGrant management. (Program administration)
Source: RHTP Obligated Funds Report ↗
What CMS has announced for Iowa
Funding is one part of the job
A round in Iowa 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.
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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.
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