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Rural Health Transformation funding in Texas

First-year award
$281M
Reported put to work, as of Jul 31, 2026
$53.3M
19% of the award
This figure stops at Jul 31, 2026. CMS has announced more for Texas since. See below.
Application rounds open today
None found
Build a plan for Texas →Official state program ↗

Rounds to look at

  • No date posted
    Upcoming
    Initiative 2: Rural Texas Patients in the Driver's Seat (RFP)
    Rural Texas Strong

    Texas estimates applications will be due January 12, 2027.

    Texas says all its dates are estimates and may change.

    Read the official notice ↗Checked Nov 7, 2026.

  • No date posted
    Upcoming
    Initiative 3: Lonestar Advanced AI and Telehealth (RFP)
    Rural Texas Strong

    Texas estimates applications will be due January 12, 2027.

    Texas says all its dates are estimates and may change.

    Read the official notice ↗Checked Nov 7, 2026.

  • No date posted
    Upcoming
    Initiative 6 Part 2: Infrastructure and Capital Investments for Rural Texas
    Rural Texas Strong

    Texas lists the deadline as to be determined, with an estimated program start of November 1, 2027.

    Texas says all its dates are estimates and may change.

    Read the official notice ↗Checked Nov 7, 2026.

What the state review found, as of Nov 7, 2026

Initiative 6 Part 1 has closed and awards are being announced. Texas estimates that RFPs for Initiatives 2 and 3 will be due January 12, 2027, a vendor-only cybersecurity offer January 19, and Initiative 6 Part 2 later. Texas says all its dates may change.

Closed rounds (2)

Where Texas's money has gone so far

As Texas reported it to CMS through Jul 31, 2026. These are commitments to agencies, contractors and partners, not a measure of what has reached patients.

  • Prevention and chronic disease$24.8M
  • Capital and infrastructure$20M
  • Program administration$6.1M
  • Workforce$2.4M
Read the detail with care. No information provided for Initiatives 2, 3, 4, 5. The figures are shown as CMS printed them.

Initiative detail

Make Rural Texans Healthy Again$24.8M
  • $24.8MCommunity-based prevention, wellness, and nutrition programs or services offered by Rural Health Districts (RHDs) and Rural Health Authorities (RHAs) through the implementation of activities aimed at improving one or more of the following chronic disease conditions, with a primary focus on diabetes and obesity education and management: diabetes, cardiovascular disease, chronic respiratory disease, or obesity. The subrecipient will demonstrate that it has provided obesity intervention services to at least 127 unique individuals and diabetes management or intervention services to at least 414 unique individuals over the Grant terms, and to evidence progress on outcome measures as indicated in the Rural Texas Strong application. (Prevention and chronic disease)
The Next Generation of the Small Town Doctor and Team$2.4M
  • $2.4MDepartment of State Health Services (DSHS) Community Health Worker (CHW) Program Staff to process CHW training and certification programs to increase the number of mid-level practitioners and allied health professionals in rural areas for the implementation of Initiative 4. (Workforce)
Infrastructure and Capital Improvement for Rural Texas$20M
  • $20MIncreasing medical infrastructure support by contracting with the Texas Emergency Medical Task Force (EMTF) to invest in the purchase of Advanced Medical Buses (AMBUSes). An AMBUS is a custom vehicle to serve as Mobile Intensive Care Units (MICU), equipped with advanced medical monitoring, equipment, oxygen, and communication systems. These mobile units also serve as field clinics for community outreach. Local Emergency Medical Services (EMS) and fire departments host, staff, and maintain the vehicles. (Capital and infrastructure)
Program operations$6.1M
  • $6.1MHealth and Human Services Commission (HHSC) administrative costs including salaries, fringe, indirect, etc. (Program administration)

Source: RHTP Obligated Funds Report ↗

What CMS has announced for Texas

Funding is one part of the job

A round in Texas 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

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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