Tracking State Rural Health Transformation Plans

The five-year, $50 billion Rural Health Transformation program was created as part of the One Big Beautiful Bill Act to expand access to healthcare. States competed to win funding with first-year allocations ranging from $147 million for New Jersey to $281 million for Texas. Find links to available public documents for each state below.

KFF Health News will update this database as more states respond to emails and public records requests for their documents.

State	Amount awared to date	Application documents	FY2026 approved plans
Alabama	$203,404,327	Link to partial application	Link to approved plans
Alaska	$272,174,856	Link to partial application	Link to approved plans Link to approved budget
Arizona	$166,988,956	Link to partial application	Link to approved plans Link to approved budget
Arkansas	$208,779,396	Link to complete application	Link to approved plans Link to approved budget
California	$233,639,308	Link to complete application	Link to approved plans Link to approved budget
Colorado	$200,105,604	Link to partial application	Link to approved plans Link to approved budget
Connecticut	$154,249,106	Link to partial application	Link to approved plans Link to approved budget
Delaware	$157,394,964	Link to partial application	Link to approved plans Link to approved budget
District of Columbia	Not applicable	Not applicable	Not applicable
Florida	$209,938,195	Link to complete application	Not available
Georgia	$218,862,170	Link to complete application	Link to approved plans Link to approved budget
Hawaiʻi	$188,892,440	Link to complete application	Link to approved plans Link to approved budget
Idaho	$185,974,368	Link to complete application	Link to approved plans Link to approved budget
Illinois	$193,418,216	Link to complete application	Link to approved plans Link to approved budget
Indiana	$206,927,897	Link to partial application	Link to approved plans Link to approved budget
Iowa	$209,040,064	Link to complete application	Link to approved plans Link to approved budget
Kansas	$221,898,008	Link to complete application	Link to approved plans Link to approved budget
Kentucky	$212,905,591	Link to partial application	Not available
Louisiana	$208,374,448	Link to partial application	Link to approved plans Link to approved budget
Maine	$190,008,051	Link to complete application	Link to approved plans Link to approved budget
Maryland	$168,180,838	Link to partial application	Link to approved plans Link to approved budget
Massachusetts	$162,005,238	Link to complete application	Link to approved plans Link to approved budget
Michigan	$173,128,201	Link to complete application	Link to approved plans Link to approved budget
Minnesota	$193,090,618	Link to complete application	Link to approved plans Link to approved budget
Mississippi	$205,907,220	Link to partial application	Link to approved plans
Missouri	$216,276,818	Link to partial application	Link to approved plans Link to approved budget
Montana	$233,509,359	Link to partial application	Link to approved plans Link to approved budget
Nebraska	$218,529,075	Link to complete application	Not available
Nevada	$179,931,608	Link to partial application	Link to approved plans Link to approved budget
New Hampshire	$204,016,550	Link to partial application	Not available
New Jersey	$147,250,806	Link to complete application	Not available
New Mexico	$211,484,741	Link to complete application	Link to approved plans Link to approved budget
New York	$212,058,208	Link to partial application	Not available
North Carolina	$213,008,356	Link to partial application	Link to approved plans Link to approved budget
North Dakota	$198,936,970	Link to complete application	Link to approved plans Link to approved budget
Ohio	$202,030,262	Link to partial application	Link to approved plans Link to approved budget
Oklahoma	$223,476,949	Link to partial application	Link to approved plans Link to approved budget
Oregon	$197,271,578	Link to partial application	Link to approved plans Link to approved budget
Pennsylvania	$193,294,054	Link to complete application	Link to approved plans Link to approved budget
Rhode Island	$156,169,931	Link to partial application	Link to approved plans Link to approved budget
South Carolina	$200,030,252	Link to complete application	Link to approved plans Link to approved budget
South Dakota	$189,477,607	Link to complete application	Link to approved plans
Tennessee	$206,888,882	Link to partial application	Not available
Texas	$281,319,361	Link to complete application	Link to approved plans Link to approved budget
Utah	$195,743,566	Link to complete application	Link to approved plans Link to approved budget
Vermont	$195,053,740	Link to partial application	Link to approved plans Link to approved budget
Virginia	$189,544,888	Link to complete application	Link to approved plans Link to approved budget
Washington	$181,257,515	Link to complete application	Link to approved plans Link to approved budget
West Virginia	$199,476,099	Link to partial application	Link to approved plans Link to approved budget
Wisconsin	$203,670,005	Link to complete application	Link to approved plans Link to approved budget
Wyoming	$205,004,743	Link to complete application	Link to approved plans Link to approved budget

Note: Data collected as of July 29, 2026. KFF Health News reporters searched state websites, requested documents, and filed public records requests. KFF Health News continues to collect documents.

Sources: Documents publicly posted online or released in response to KFF Health News requests; Centers for Medicare & Medicaid Services

Credit: KFF Health News’ Lydia Zuraw, Arielle Zionts, Sarah Jane Tribble, Maia Rosenfeld, Lauren Sausser, Katheryn Houghton, Jazmin Orozco Rodriguez, Phil Galewitz, and Nathan Payne; Sammy Mack, Drew Hawkins, Blake Farmer, Jonathan Rudenberg

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