Rural Health Transformation Program by State

CMS awarded $10 billion for Year 1 of the $50 billion Rural Health Transformation Program, split across all 50 states. Awards range from $281.3 million in Texas to $147.3 million in New Jersey. Each state runs its own program, with its own initiatives, eligibility rules and application process.

See all 50 states ↓Read the Year One Report

Year 1 awards, all 50 states$10.0B total

Texas $281.3MNew Jersey $147.3M

$10.0BYear 1 awards, all 50 states

$100MBaseline award for every state

$281.3MHighest award, Texas

$147.3MLowest award, New Jersey

Spending data in the RHTP Year One Report covers December 29, 2025 to July 31, 2026, the latest CMS reporting window.

All 50 states

Year 1 RHTP awards by state

States are listed A to Z, with each state's rank by Year 1 award. Open a state guide for its initiatives, eligibility and how to apply, or its section of the Year One Report for spending data through July 31, 2026.

State	Rank	Year 1 award	Go to
Alabama	24	$203.4M	State guide Spending data
Alaska	2	$272.2M	State guide Spending data
Arizona	45	$167.0M	State guide Spending data
Arkansas	16	$208.8M	State guide Spending data
California	3	$233.6M	State guide Spending data
Colorado	26	$200.1M	State guide Spending data
Connecticut	49	$154.2M	State guide Spending data
Delaware	47	$157.4M	State guide Spending data
Florida	14	$209.9M	State guide Spending data
Georgia	7	$218.9M	State guide Spending data
Hawaii	39	$188.9M	State guide Spending data
Idaho	40	$186.0M	State guide Spending data
Illinois	33	$193.4M	State guide Spending data
Indiana	18	$206.9M	State guide Spending data
Iowa	15	$209.0M	State guide Spending data
Kansas	6	$221.9M	State guide Spending data
Kentucky	11	$212.9M	State guide Spending data
Louisiana	17	$208.4M	State guide Spending data
Maine	36	$190.0M	State guide Spending data
Maryland	44	$168.2M	State guide Spending data
Massachusetts	46	$162.0M	State guide Spending data
Michigan	43	$173.1M	State guide Spending data
Minnesota	35	$193.1M	State guide Spending data
Mississippi	20	$205.9M	State guide Spending data
Missouri	9	$216.3M	State guide Spending data
Montana	4	$233.5M	State guide Spending data
Nebraska	8	$218.5M	State guide Spending data
Nevada	42	$179.9M	State guide Spending data
New Hampshire	22	$204.0M	State guide Spending data
New Jersey	50	$147.3M	State guide Spending data
New Mexico	13	$211.5M	State guide Spending data
New York	12	$212.1M	State guide Spending data
North Carolina	10	$213.0M	State guide Spending data
North Dakota	29	$198.9M	State guide Spending data
Ohio	25	$202.0M	State guide Spending data
Oklahoma	5	$223.5M	State guide Spending data
Oregon	30	$197.3M	State guide Spending data
Pennsylvania	34	$193.3M	State guide Spending data
Rhode Island	48	$156.2M	State guide Spending data
South Carolina	27	$200.0M	State guide Spending data
South Dakota	38	$189.5M	State guide Spending data
Tennessee	19	$206.9M	State guide Spending data
Texas	1	$281.3M	State guide Spending data
Utah	31	$195.7M	State guide Spending data
Vermont	32	$195.1M	State guide Spending data
Virginia	37	$189.5M	State guide Spending data
Washington	41	$181.3M	State guide Spending data
West Virginia	28	$199.5M	State guide Spending data
Wisconsin	23	$203.7M	State guide Spending data
Wyoming	21	$205.0M	State guide Spending data

Awards are CMS Year 1 (Budget Period 1) amounts, rounded to the nearest $0.1 million.

How awards work

How Year 1 awards were set

Half of the $10 billion was split evenly. The other half followed each state's application.

$100 million baseline for every state

Each state received the same $100 million, $5 billion in all, regardless of size or rural population.

The rest followed each state's application

The other $5 billion was distributed based on each state's rural needs, the policy actions it committed to and the strength of its plan.

Later years are not guaranteed

CMS plans up to $40 billion more through 2030 and rescores every state each year on progress, data and policy commitments.

Unobligated money leaves the state

Funds not obligated by the end of a budget period are redistributed to other states.

FAQ

RHTP by state FAQs

How much did each state get from the Rural Health Transformation Program?

Year 1 awards range from $281.3 million for Texas to $147.3 million for New Jersey, $10 billion in all. Half of states received more than $201 million. Every state got $100 million in baseline funding, and the rest of each award was based on the state's rural needs, its policy commitments and the strength of its plan.

Who runs each state's Rural Health Transformation Program?

Each state runs its own program through a lead state agency named in its application, such as the Ohio Department of Health. The agency manages the plan, posts funding opportunities and answers questions. State guides on this page name the agency, link to its RHTP page and list how to reach it.

How do I apply for RHTP funding in my state?

Apply through your state, not CMS. States award grants and contracts through their own solicitations and procurement sites, and each round states who is eligible. Start with your state's guide or lead agency, and watch for new rounds after CMS approves each budget.

Where can I see how states are spending their RHTP funding?

The RHTP Year One Report tracks how much of each state's award was put to work through July 31, 2026, by initiative and recipient, using state-reported data from CMS. It updates after each CMS data release.

Follow every state's money as it moves

The RHTP Year One Report tracks obligations, initiatives and recipients for all 50 states after each CMS data release.

Read the Year One Report →Join the Alliance

Last updated: November 2026. Sources: CMS and state-reported RHTP data.