In this issue:

• Legislation Watch: MO, NY, CA

• New Mexico flashes release dates, including Healthy Horizons on Monday

• Arksansas out with a rollout timeline

• Mississippi is engaging

• West Virginia Opportunity 1: PHA – Statewide Local Health Challenge Grant; webinar today

• North Dakota just posted the Rural Health Clinical Equipment Competitive Funding Opportunity

• Utah posts ominous asterisks

Legislation Watch: MO, NY, CA

• Missouri — HB2011: Governor Mike Kehoe’s Fiscal Year 2027 Department of Social Services appropriations bill is the vehicle carrying Missouri’s $216.3 million first-year Rural Health Transformation Program award to the MO HealthNet Division, and the money cannot move until the Legislature grants spending authority; the bill has been Truly Agreed To and Finally Passed by both chambers and delivered to the Governor. Missouri Independent, December 30

• New York — S09003 / A10000 (Aid to Localities and State Operations): The paired appropriations bills carry New York’s $212 million first-year Rural Health Transformation Program allocation through the Department of Health, and rural providers, hospitals, and Federally Qualified Health Centers are still awaiting distribution mechanics as the bills clear; both have passed both chambers and been delivered to Governor Kathy Hochul. The Daily Gazette, April 5

• California — AB1923: Assemblywoman Esmeralda Soria adds $300 million to the Distressed Hospital Loan Program, the state fund created in 2023 to reopen Madera Community Hospital and prevent further closures, and its loan-forgiveness criteria explicitly cite distress caused by the One Big Beautiful Bill Act — the law whose Section 71401 created the Rural Health Transformation Program; the $300 million is California state money rather than RHTP federal funds, so the link is contextual, worth tracking as a state backstop to the same rural-hospital pressures the RHTP targets. The bill passed the Assembly Health Committee and is now in the Senate, referred to the Committee on Rules. CalMatters, February 14

New Mexico flashes release dates, including Healthy Horizons on Monday

Also updated ASO due date

Arksansas out with a rollout timeline

Mississippi is engaging

The Mississippi Rural Health Transformation Office invites providers, community organizations, and stakeholders to register for two upcoming engagement opportunities related to the Mississippi Rural Health Transformation Program.

Application Webinar: June 1 at 2 pm

The webinar is application-focused and will provide detailed information about the first phase of funding opportunities, including eligibility, timelines, and application requirements for the:
• Rural Capital Project Care Gap Closure Grant Program
• Rural Provider Technology Grant Program
• Telehealth Hub Connectivity, Equipment, and Education Grant Program

Register for the Webinar

Community Outreach Meetings

The Community Outreach Meetings will provide a broader overview of the MS RHT Program, including the State’s vision for rural health transformation, how funding can and cannot be used, and future opportunities still to come.

Community Outreach Meetings:
• Pearl — June 4 at 10:00 AM
• Ellisville — June 5 at 9:30 AM
• Summit — June 5 at 2:30 PM
• Tupelo — June 9 at 10:00 AM
• Cleveland — June 10 at 10:00 AM

Register for a Community Outreach Meething

More information is available at MississippiRHTP.com.

Read more

In this issue:

• Legislation Watch: TN, AK, NY, CA

• Alabama posts more info on workshops

• Colorado to host grantee partnership meeting

• Kansas announces CHW + AFIM Announces Webinar

• Mississippi posts Notice of Award and details on Comprehensive State Health Plan RFP, due June 4

• Oklahoma posts detailed map of Community-Led Wellness Hubs: Microgrants Funding Recipients

Legislation Watch: TN, AK, NY, CA

• Tennessee — HB2631 / SB2690: Governor Bill Lee signed the $58.3B FY26/FY27 appropriations act (now Public Chapter 1142) with the $206.9M RHTP Year-1 federal award and $125M state shared-savings for rural hospitals embedded; first competitive RFP round opens July 6. Chattanooga Times Free Press, May 25

• Alaska — HB263: The FY27 operating budget carrying spending authority for Alaska’s $272M RHTP Year-1 award passed the House April 14 with a $1,500 PFD; the Senate countered April 24 with a $1,000 PFD plus a $150 energy-relief payment, and Governor Mike Dunleavy and legislative leaders reached a compromise framework May 18. Alaska Beacon, May 18

• New York — S09003 / A10003 (Aid to Localities) and S09000 / A10000 (State Operations): Governor Kathy Hochul’s FY27 budget is nearly two months past the April 1 deadline due to policy disagreements with the legislature, and New York’s $212M Year-1 RHTP allocation cannot reach providers in 47 rural counties until either chamber’s final concurrence happens. The Daily Gazette

• California — AB1923 (flagged — indirect): Assemblywoman Esmeralda Soria (D-Fresno) reauthorized the Distressed Hospital Loan Program with another $300M; passed Assembly 77-0 on May 27 with urgency clause and is now in the Senate. The bill doesn’t touch RHTP funds directly but Soria explicitly framed it as a state backstop to the same federal Medicaid cuts that RHTP is meant to offset. CalMatters, Feb 14

Sources:

• Chattanooga Times Free Press — TN launches first RHTP grants

• Alaska Beacon — Budget deal with $1,000 PFD and energy rebate

• The Daily Gazette — Rural NY providers await transformation funds

• CalMatters — Glenn County hospital + AB1923

Alabama posts more info on workshops

ADECA is hosting workshops to provide an in-depth overview of the Alabama Rural Health Transformation Program (ARHTP) and the eleven initiatives developed for Alabama. See the memo below for more information:

ARHTP Roadshow Workshop Announcements (May 26 – 28, 2026)

NOTE: The location of the Montgomery workshop on Thursday, May 28, has been changed to the Gordon Persons Building. Please see the memo for details.

Colorado to host grantee partnership meeting

Partnerships for Grantees:
Wednesday, June 10, 2026 from 2 to 3 p.m.
Join us for a session focused on helping potential grantees create meaningful partnerships with healthcare and community organizations, as well as vendors. Register here.

Kansas announces CHW + AFIM Announces Webinar

The Community Health Worker + Accountable Food is Medicine Program (CHW + AFIM) is hosting a webinar on Thursday, June 4, 2026 at noon. This webinar will discuss the Request for Applications (RFA) for clinics seeking funding to support Community Health Workers withing the Rural Health Transformation Program.

Click here to sign up for the CHW + AFIM webinar

West Virginia out with Q&A for Personal Health Accelerator - Designing and Implementing a Statewide Local Health Challenge Competition

Read more

• Legislation Watch: Alaska and Minnesota

• Rhode Island establishes Rural Stakeholder Advisory Council

• Colorado posts webinars recordings related to June 15 RFP launch— see detailed notes on how to take part

• Mississippi readies community meetings— first words from key state

• Kansas will post Community Health Worker + Accountable Food is Medicine Program Funding Opportunity May 29

Legislation Watch

Primary RHT Legislative Actions

Bills explicitly written to implement, fund, or fulfill the specific policy commitments states made in their CMS Rural Health Transformation Program applications.

Alaska HB110: The interstate licensure compact bill — extending Alaska’s participation in multistate licensure to physicians, physician assistants, psychologists, social workers, and EMS personnel. Anchorage Democratic Sen. Forrest Dunbar said it plainly on the Senate floor: “This is the Rural Health Transformation Program bill. That’s why these compacts are being done — because the administration committed to the federal government that we would pass or attempt to pass a number of these compacts.” Alaska is on track to draw more than $1 billion over five years from RHTP and a $272 million first-year award. Alaska Public Media

The bill passed unanimously in the House and 13–7 in the Senate, with all seven no votes coming from members of the bipartisan majority — a rarity in Juneau. Anchorage Republican Sen. Cathy Giessel, a nurse practitioner, was the most prominent dissent: “I don’t want to give up that authority to look at these medical professions and what they can do in our state. We are the only ones who care about and understand our state’s needs.” A companion bill on the same RHTP track, HB195, allows pharmacists to treat minor and chronic conditions and cleared by wide margins despite abortion-related concerns from some Republicans that the attorney general’s office called unfounded. Alaska Public Media

A separate nurse licensure compact bill was the only one of the planned RHTP compacts that did not pass this session — stalled by stakeholder pushback led by the state’s largest nursing union, which argued that staffing and working conditions, not licensure friction, are what drive nurse turnover in Alaska. The SCR 25 title change noted in the tracker is the concurrent resolution adjusting the official title before transmittal. HB110 now heads to Governor Dunleavy, whose office said he would evaluate the bills. Alaska Beacon

Minnesota SF4612: The omnibus Health and Human Services supplemental appropriations act — signed by Governor Walz and filed with the Secretary of State. The bill is the state-level OBBBA compliance vehicle. Its base text codifies federal Medicaid changes embedded in Public Law 119-21 (the same statute that created the RHTP), including federally mandated work requirements for adults without children, six-month renewal requirements, new cost-sharing rules, and a shortening of retroactive coverage from three months to one. Rep. Jeff Backer (R-Browns Valley) told colleagues the state risks losing $3.5 billion to $4 billion a year in federal Medicaid match without the conforming changes. Minnesota House of Representatives — Session Daily

Layered onto the OBBBA-conformance base is a nearly $660 million budget agreement between House and Senate leaders and Governor Walz that includes $205 million in direct stabilization funding for Hennepin County Medical Center — Minnesota’s flagship trauma center and safety net hospital — plus a reserve account of up to $500 million that HCMC and other hospitals with uncompensated-care burdens can draw from through 2031. The bill also restructures Hennepin Healthcare’s governance, mandating a new 11-to-15-member board with at least 70% of seats held by directors with health-system expertise. Minnesota House of Representatives — Session Daily

The conference report cleared the House 108–26 and the Senate 35–32 in the final hours of the 2026 session. The process drew criticism from minority members, including Sen. Jim Abeler (R-Anoka), who said the 300-plus page report was posted at 8 p.m. with no public conference committee. Minnesota’s federal RHTP award — $193 million, $7 million short of its CMS request — runs on a parallel track: MDH issued its first subgrant round on March 18 with applications due May 15. SF4612 is what keeps the Medicaid backbone aligned while RHTP money flows. Minnesota House of Representatives — Session Daily

Appropriation & Budgetary Links

Broad budget bills that don’t introduce RHTP policy themselves but are the legal vehicles through which RHTP receipt authority, sub-grant flows, or matching state spending get authorized.

Alaska HB263: The supplemental operating budget bill — the 30th-day supplemental introduced February 18 that now carries the spending authority Alaska’s Department of Health needs to draw down its federal RHTP award. State officials have repeatedly told lawmakers that without legislative receipt authority on the books, the $1.36 billion flow through 2030 is at risk of federal claw-back. Alaska Beacon

In November 2025 the Legislative Budget and Audit Committee approved up to $200 million in interim federal receipt authority to let Alaska accept the award; HB263 is the bill that converts that interim approval into full-session appropriations authority. The bill advanced to third reading on the May 7 calendar and was on track for a House floor vote — the MANIFEST ERROR(S) flag in the tracker indicates a clerk’s drafting correction filed after passage. Alaska Public Media

New York S09003 / A10003: Companion Senate and Assembly bills carrying the FY 2026-27 Aid to Localities appropriations — the half of the New York budget where rural hospital pass-through dollars, Medicaid match, and DOH provider payment authorizations actually live. The print-D versions reflect the 30-day amendments Governor Hochul submitted to fold in the Senate’s one-house priorities. NYSenate.gov — Senate Majority press release

New York is in line to receive $212 million in first-year RHTP funds from CMS — above the $200 million national average — and the Aid to Localities bill is the customary vehicle for the corresponding state-side appropriation authority. The Senate’s one-house resolution added $500 million in operating support for financially distressed hospitals plus $405 million for hospital rate and quality incentive programs, which would layer on top of the federal RHTP draw. As of late April, a sixth budget extender had been passed and the governor was targeting a final budget by May 19. NYSenate.gov — Sen. Helming column

New York S09000 / A10000: Companion Senate and Assembly bills carrying the FY 2026-27 State Operations appropriations — the half of the budget where DOH staffing, the Office of Rural Health, and program administration capacity for the RHTP subgrant pipeline get funded. Without State Operations authority, DOH can take the federal money but lacks the FTE authority to actually administer the program. NYS Assembly 2026 Budget

A separate FY 2026 budget action — already signed — funded a $1 billion capital and $300 million operating Safety Net Transformation Program for distressed hospitals, much of which will run on parallel tracks to the federal RHTP draw. The FY27 budget that S09000/A10000 reflects is where the RHTP administrative scaffolding gets layered in. Governor Hochul press release

Rhode Island establishes Rural Stakeholder Advisory Council

The Rural Stakeholder Advisory Council is being established to support transparent, accountable, and community-informed implementation of Rhode Island’s Rural Health Transformation Program. Learn more about the Rural Stakeholder Advisory Council.

Lots of detail posted, including nominations:

Membership

The Council is expected to include a broad range of representatives from Rhode Island’s rural health system and communities. Access the Council’s nomination form.

Representation may include:

• State health and human services leadership

• Public health and rural health representatives

• Rural hospitals and health systems

• Primary care providers

• Behavioral health providers

• Emergency medical services

• Community-based organizations

• Municipal or regional representatives

• Tribal representation

• Consumer or resident representatives

• Higher education or workforce development partners

• Other stakeholders with relevant rural health expertise

• Rural Residents

Final membership will be posted once confirmed.

Rural Stakeholder Advisory Council Charter

The RSAC Charter outlines the Council’s purpose, scope, and overall advisory role within Rhode Island’s Rural Health Transformation Program.

Access the draft RSAC Charter.

Read more

• Connecticut: Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence

• Tennessee launches HART grants

• Idaho puts out a detailed procurement overview

• Alaska LOI update: advancing to full application stage

• New Mexico Extends ASO RFP Deadline, Splits Evaluation Methodology for Federal Funds

• Vermont opens floodgates with eight RFPs and NOFOs Friday afternoon

Connecticut: Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence

Connecticut’s Office of Health Strategy posted the state’s first Rural Health Transformation Program NOFO on May 22, 2026 — a $1.8 million Year 1 solicitation (#26OHS001) for AI-enabled remote patient monitoring and care coordination, with applications due July 7, 2026.

Awards will range from $100,000 to $1,000,000 with up to five grants in Year 1, renewable for up to five years pending CMS continuation funding. Eligible applicants are Connecticut-licensed providers — hospitals, FQHCs, behavioral health providers, EMS, pharmacists, oral health, maternity programs, municipal health agencies, academic medical centers, multi-entity consortia, and federally recognized Tribes — with technology vendors restricted to subcontractor roles. Every funded project must integrate bidirectionally with Connie, the state’s HIE. CT Office of Health Strategy

The procurement arrives in unusual administrative circumstances. Per Public Act 26-68, effective July 1, 2026 — right in the middle of the application window — OHS will be dissolved and its functions absorbed into the Office of Policy and Management. The NOFO explicitly names OPM as successor Grantor, requiring applicants to plan for a grant agreement with an agency that does not yet exist in its post-merger form. This is the first RHTP procurement we’ve seen go out under an issuing agency that’s simultaneously being wound down. CT NOFO 26OHS001, Section 1.1

Connecticut’s broader RHTP plan — funded at $154,249,105.53 in Year 1 by CMS award RHTCMS332073 — encompasses 30+ named projects across 11 state agencies, organized in four initiatives: Population Health Outcomes, Workforce, Data & Technology, and Care Transformation & Stability. The last bucket alone absorbs $85.6 million in Year 1, with rural hospital right-sizing grants anticipated for Charlotte-Hungerford, Day Kimball, Sharon, and Windham hospitals. DSS is the lead agency under a new Division of Rural Health Transformation, with Daniel Sinclair confirmed as Project Director per CMS’s April 16 revised Notice of Award. CMS Notice of Award RHTCMS332073-01-02 Governor’s Office

Read more

• Tennessee posts slides and replay of recent vendor webinar

• Colorado adds “Understanding the Budget” event

• Kentucky signals three EMS-centric RFAs to launch soon

• Iowa wants to hear from you: RFIs for Maternal & Cardiovascular Health Hub and Spokes

• South Dakota awards three contracts

• Texas extends deadines

• Vermont publishes Shared EHR NOFO

Tennessee posts slides and replay of recent vendor webinar

Click for a replay of the May 15th webinar highlighting the upcoming competetive opportunities in the Rural Health Transformation Program.

Download the presentation from the May 15, 2026, info session on RHTP competitive grant opportunities.

Currently open: Perinatal and Pediatric Behavioral Teleconsultation and Education Project RFA. BOLO for a ton of new RFPs from them, including potentially Evaluation (based on their April RFI)

Colorado adds “Understanding the Budget” event

Thursday, May 28, 2026 from 1-2 p.m.

Join us for a one-hour overview of the RHTP budget. Register here.

Kentucky signals three EMS-centric RFAs to launch soon

From Crisis to Care: Establish or Expand Community Paramedicine Program​

Kentucky RHT is investing in expanding the role of emergency medical services in rural communities. Non-profit and publicly funded EMS agencies operating in Kentucky are invited to apply for f​unding to establish or expand community paramedicine programs that connect residents to care before and after emergencies.​​​

From Crisis to Care: EMS Training Equipment Quality and Offer Mobile Training Units

Kentucky RHT invested in building the capacity of Emergency Medical Services education and hands-on skills training across Kentucky. Kentucky-based​ TEI agencies are invited to apply for funding to support the growth of hands-on skills training at their local sites. ​​​​

From Crisis to Care: ​EMS Transformation

Kentucky RHT is investing in expanding the care options available to EMS agencies in rural communities. EMS agencies interested in developing Treat-No-Transport and Transport to Alternative Destinations protocols, enabling clinicians to resolve appropriate calls on scene or connect patients to the right setting without a trip to the emergency department, are invited to apply for funding and technical assistance.​​​​

Iowa wants to hear from you: RFIs for Maternal & Cardiovascular Health Hub and Spokes

Iowa HHS is hosting in-person and virtual Request for Information (RFI) round tables for Maternal and Cardiovascular Health Hub and Spoke Networks of Care. If you are interested in attending, please register below.

Maternal Health Hub and Spokes - RFI Round Table Schedule

• May 27, 2026 – Virtual

  • Virtual Zoom Meeting

  • Time: 2:30pm-4:00pm

  • Please Register as capacity is limited to 350 guests

• Cardiovascular Health Hub and Spokes – RFI Round Table Schedule

  • May 29, 2026 – Virtual

    • Virtual Zoom Meeting

    • Time: 2:00pm-3:30pm

    • Please Register as capacity is limited to 350 guests

Submit a Written RFI Response to Iowa HHS

To submit a written response to the RFI, please refer to the following materials:

• RFI# COMPADM26006 Maternal Health Hub and Spoke Networks of Care. Responses are due by 4:30 PM on June 12, 2026  

  • How to Submit in Response to RFI#COMPADM26006

• RFI#COMPADM26007 Cardiovascular Health Hub and Spoke Networks of Care. Responses are due by 4:30 PM on June 26, 2026.  

  • How to Submit in Response to RFI#COMPADM26007

Read more

• Alabama out with a more detailed launch timeline

• Illinois publishes Eligibility Criteria and Rurality Threshold Methodology and Eligible Hospitals

• Nebraska launches two new programs

• Iowa Kickoff Webinar: Hometown Connections School-Based Services

• Iowa published Notice of Intent to Release for Rural Residency Program

Alabama out with a more detailed launch timeline

Illinois publishes Eligibility Criteria and Rurality Threshold Methodology and Eligible Hospitals

Thus is a huge signal from a state that has been very, very quiet. Complete tabular list of all hospitals.

To establish objective eligibility criteria for hospital inclusion in the Hospital Transformation Program’s planning grant opportunity, we assessed the volume of hospital services provided to residents of rural ZIP Codes. The analysis was based on Illinois Department of Public Health (IDPH) hospital discharge and ED discharge data from 2022–2024 and HRSA Federal Office of Rural Health Policy definitions of rural ZIP Codes. Hospitals were categorized as rural or non-rural based on the location based HRSA classification. Similarly, patient discharges and ED visits were categorized as rural or non-rural using each patient’s ZIP Code. The total count and the percentage of each hospital’s discharges and ED visits among rural patients was calculated and averaged across the three years. 

Nebraska launches two new programs

Assisted Living Facility (ALF) Special Needs Incentive Payment Program

The Rural Health Transformation Program (RHTP) Assisted Living Facility (ALF) Special Needs Incentive Payment Program supports assisted living providers caring for Medicaid beneficiaries receiving care in an ALF diagnosed with Alzheimer’s disease or related dementias.

The program creates a rate add-on designed to help facilities meet the increased staffing, care coordination, and service demands associated with higher-acuity residents while encouraging residents to remain in their local communities whenever possible.

The program provides enhanced Medicaid reimbursement to eligible ALFs serving higher-acuity residents in rural communities.

Build Rural Workforce

Community Health Workers (CHWs) will work with Local Health Departments (LHDs) and tribal organizations supporting care coordination with rural hospitals or facilities to strengthen prevention and care navigation in rural communities.

Community Health Workers (CHWs) will work with Local Health Departments (LHDs) and tribal organizations supporting care coordination with rural hospitals or facilities to strengthen prevention and care navigation in rural communities. CHWs help connect people with a regular healthcare provider or clinic for ongoing care, support patients in managing chronic diseases by providing education and checking in remotely for non-emergency needs, and coordinate communication between primary care providers, behavioral health specialists, and maternal health services.

Nebraska will develop a formal CHW certification pathway and maintain a statewide registry, defining core competencies and specialized endorsements such as home visiting and lactation support.

Community Paramedicine (CP) will use the medical training of Emergency Medical Services (EMS) providers to support patients with emergency and non-emergency needs. Using telehealth and updated systems, CPs will deliver new “treat-in-place” services, perform chronic disease follow-up, assist with high-risk patient outreach, and connect patients to appropriate levels of care, such as primary care clinics or behavioral health providers.

Rural Health Care Workforce Incentive and Sustainability Model will build Nebraska’s network of SNAP Employment and Training partners in rural areas. Organizations will receive support and training to build infrastructure to become SNAP E&T partners who will provide case management to prepare participants for careers in health care through components like job search training, basic education, vocational training, and job retention to ensure participants can be successful and maintain careers in health care. This will help build the health care workforce as well as create a sustainable, long-term health care workforce pipeline. Rural Nebraskans will be able to become self-sufficient through gainful employment in high-demand health care careers.​

Nebraska Rural Health Workforce Incentive Program will offer monetary incentives to health care providers in exchange for a five-year service commitment to work in a rural county. This will support health care professionals in relocating to or continuing to serve in rural communities, thereby strengthening recruitment and retention and expanding clinical services.

Dental Workforce Pipeline will be strengthened by starting student rotations through the UNMC College of Dentistry and Creighton University School of Dentistry. These dental and hygiene students will help rural local health department teams deliver preventive oral health services and gain experience in community public health dentistry. Tribal partners will help co-design prevention services for Native American populations. Outreach programs, utilizing public health hygienists and community health workers, will offer rural portable dental services across the lifespan, including screening, cleanings, fluoride treatments, sealants and proper referrals. Dental Colleges and Free Clinics providing urgent care services and programs offering care to special needs and older adult populations will also be supported.

School-Age Health Care Pipeline will introduce school-age students to health care careers through uBEATS and Health Care Heroes League (HCHL).

• uBEATS is a web-based platform that introduces students in grades 6 to 12 to health science and behavioral health fields by equipping teachers with modern science, technology, engineering, and math resources. uBEATS will add a new rural health series and launch a Badge and Job-Shadowing Scholarship Program that links digital learning and hands-on experience with rural health care providers.

• HCHL is for youth in grades 2 through 5 and focuses on exploring health care careers through hands-on learning, such as mock emergency scenarios. HCHL will be provided in rural and frontier counties and tribal communities.

Rural Virtual Reality (VR) and Skills Acceleration Network will support a statewide, telehealth-enabled simulation network to bridge gaps in education and training, providing access to resources and experiences that are otherwise limited by distance, cost, or availability in rural and frontier settings. Using portable Virtual Reality/Augmented Reality (VR/AR) technology, the network delivers high-acuity, low-occurrence training directly to local providers. Content will include obstetric drills, EMS scenarios, and dental safety modules. Mobile training roadshows, regional hubs, and train-the-trainer cohorts will provide continuous skills transfer and reinforce team-based competency.
Telehealth Crisis Responders for Law Enforcement will ensure all rural and frontier law enforcement agencies have access to mobile crisis providers to support de-escalation and diversion from jail or emergency room levels of care. Law enforcement officers will use a mobile application to have instant, 24/7 access to a trained crisis professional.

Iowa Kickoff Webinar: Hometown Connections School-Based Services

The Iowa Primary Care Association (Iowa PCA) will host a virtual webinar to kick off the new Hometown Connections School-Based services in Iowa, as part of the state’s Rural Health Transformation Program efforts.

This project will help rural health care providers, schools, and local partners leverage schools as trusted locations in rural communities for Iowans to access services. This initiative aims to make it easier for children and families living in rural Iowa to get care close to home. Funding will be invested in healthcare providers to collaborate with schools and other partners to offer more comprehensive and coordinated care including physical, mental/behavioral, and dental health, and other services and supports Iowa children and families need to stay or become healthier. The Iowa PCA will share training, tools, and support to help communities plan this work.

WHO: Open to the general public

WHAT: The webinar will explain Hometown Connections School-Based services, how this project connects to upcoming state funding opportunities, what providers, schools, and partners can expect next, and how rural organizations can stay involved

WHEN: Thursday, May 28th 12:00-1:00pm

LINK: Iowa Primary Care Association (Iowa PCA) Co-Location Kick-off Webinar | Join meeting in Teams | Microsoft Teams

For the latest information on the Rural Health Transformation Program, please visit the Iowa PCA website, https://www.iowapca.org/healthyhometownsiowa

Read more

• Nevada peels off $1.3M for push-up admin

• Colorado hosting webinar and Advisory Committee meeting next week

• Wyoming gets CMS approval w/o perpetuity— see video deep-dive into their implementation

• Utah DHHS opens $200K preceptor-stipend RFA

Nevada peels off $1.3M for push-up admin

Funding under this RFA in BP1 is limited to the Nevada Department of Education and the State Public Charter School Association.

Docs: Rural Presidential Fitness Test Implementation Request for Applications Announcement

Nevada Health Authority has published an RFA dedicating 1,298,985 of its CMS Rural Health Transformation cooperative agreement (grant #RHTCMS332074-01) to school-based reinstatement of the Presidential Fitness Test. The Nevada Department of Education gets 85% (1.10M) and the State Public Charter School Association gets 15% ($195K) — eligibility is limited strictly to those two state entities, with no path for hospitals, FQHCs, EMS agencies, or community organizations to apply. NVHA expects the fitness initiative to be funded in the first two budget periods only, signaling a near-term political priority rather than a sustained program line.

Colorado hosting webinar and Advisory Committee meeting next week

Webinars

• How to Prepare for this Grant:

  • Tuesday, May 26, 2026 from 12 - 1 p.m.

  • Join us for a one-hour webinar that will help you prepare for this grant in advance of the RFA, Q&A will follow. Register here.

• Future Topics, dates coming soon

  • Vendor and Partnerships

  • How to fill out the RFA

Rural Health Transformation Program Advisory Committee Meeting: Tuesday, May 26, 4-5 p.m.

Zoom link: https://us02web.zoom.us/j/83953726614

Read more

• Iowa points to Iowa PCA for Communities of Care

• Alabama first round of Notice of Funding Opportunities to be released on June 1. Sign up for roadshow stops

• Florida adds link to HIE

• Indiana RHTP Pre-Proposal Conference, May 20, 2026

• Alaska: LOI notifications drop ~May 29 as DOH runs back-to-back impact sessions on maternal health and chronic disease

• Nebraska updates their RFP timeline

• Vermont adds five more RFPs

Iowa points to Iowa PCA for Communities of Care

An initiative that supports co-location of different rural provider types for convenient patient access and improved coordination, hires community health workers as system navigators, and invests heavily in chronic disease prevention and management techniques.

For more information on the technical assistance available for this effort, see our contracted TA provider's website.

From the PCA website:

The Iowa Primary Care Association (Iowa PCA) has been selected by the Iowa Department of Health and Human Services (Iowa HHS) to serve as the statewide Communities of Care Co-Location Technical Assistance Provider as part of Iowa’s Rural Health Transformation Program and the Healthy Hometowns initiative.

Alabama first round of Notice of Funding Opportunities to be released on June 1. Sign up for roadshow stops

ADECA is hosting workshops to provide an in-depth overview of the Alabama Rural Health Transformation Program (ARHTP) and the eleven initiatives developed for Alabama. See the memo below for more information: ARHTP Roadshow Workshop Announcements

Here’s the roadshow stops:

The Alabama Department of Economic and Community Affairs (ADECA) welcomes you to join us to learn more about the Centers for Medicare and Medicaid Systems’ Rural Health Transformation (RHT) Program and the eleven initiatives set forth by the State of Alabama to kick-start the goal of transforming health in Alabama’s rural communities.

These roadshow workshops will provide an in-depth overview of the RHT Program and the eleven initiatives developed for Alabama. Participants will have the opportunity to ask questions, gain valuable insights, and receive guidance to support application preparation ahead of the first round of Notice of Funding Opportunities, which will be released on June 1, 2026.

ADECA is committed to ensuring that every potential applicant has the resources, information, and support needed to fully understand the program and initiatives in order to successfully prepare and submit competitive applications.

May 26, 2026, 9:00-11:00 AM

Coastal Alabama Community College - Bay Minette Campus

2000 US-31, Bay Minette, AL 36507

Branch Building B - Room: 111

May 26, 2026, 5:30-7:30 PM

Troy University

100 University Avenue, Troy, AL 36082

Trojan Center - Lamar Higgins Ballroom

May 27, 2026, 9:00-11:00 AM

Gadsden State Community College

101 Padenreich Avenue, Gadsden, AL 35903

Advanced Manufacturing Flex Lab

May 27, 2026, 5:30-7:30 PM

University of North Alabama

649 Cramer Way, Florence, AL 35630

Wesleyan Auditorium

May 28, 2026, 9:00-11:00 AM

Alabama Center for Commerce

401 Adams Avenue, Montgomery, AL 36104

7^th Floor Auditorium

The parking deck is located across the street at 400 Adams Avenue, and you can access the parking deck from the Decatur Street entrance by using the following code: 157865.

May 28, 2026, 5:30-7:30 PM

University of West Alabama

100 US-11, Livingston, AL 35470

Bell Conference Center

All individuals who will be attending a workshop must pre-register at https://app.smartsheet.com/b/form/019e3894425a749183762b4a22d9e523. The workshops are accessible to persons with disabilities. Persons with disabilities or special needs who may require special materials, services, or assistance should include this information in their registration.

Florida adds link to HIE

Rural Health Transformation Program (RHTP) - The Florida HIE
Discover how our products and services can transform data access and care coordination in your organization.

Here is how the Florida HIE specifically relates to the RHTP implementation:

• Florida HIE/ENS Onboarding is a Key Initiative: One of the core initiatives driving the Technology & System Integration domain is explicitly named “Florida HIE/ENS Onboarding”. The Florida HIE is defined as the state’s platform for providing claims, encounter, and Event Notification System (ENS) analytics.

• Measurable Interoperability Goals: The RHTP has a specific target to increase electronic health record (EHR) and diagnostic system interoperability adoption among rural health facilities by 10%. The goal is to move from a 2024 baseline of approximately 73% (236 out of 323 licensed hospitals connected to a national network) to at least 83% by Fiscal Year 2030.

• Data-Driven Evaluation: The data generated from the Florida HIE will be actively used to evaluate the success of the RHTP. The External Evaluator hired by the state is required to design a data architecture capable of ingesting and synthesizing health information exchange and event notification data to track program performance over the five-year cooperative agreement.

Indiana RHTP Pre-Proposal Conference, May 20, 2026

Event Livestream Link

Event TimeEvent Name and LinkIGCS Conference Room9:30 am

The Rural Health Transformation Program (RHTP)

IGCS Conference Room 22

Alaska: LOI notifications drop ~May 29 as DOH runs back-to-back impact sessions on maternal health and chronic disease

Alaska published links to webinar recordings yesterday:

Healthy Beginnings RHTP Impacts Series: Session 2

• Webinar Recording: Video Link

• Presentation Slides/Materials: Resource Link

Healthy Communities RHTP Impacts Series: Session 2

• Webinar Recording: Video Link

• Presentation Slides/Materials: Resource Link

Here’s analysis

Commissioner Heidi Hedberg told two separate audiences on May 19, 2026 that Alaska’s RHTP Letter of Interest notifications go out at the end of next week — roughly May 29. The first time she said it was in the morning’s Impact Series #2 session on Healthy Beginnings (maternal health); the second was that same afternoon at Impact Series #3 on Chronic Disease and Self-Management with Dr. Ellen Hodges of Yukon-Kuskokwim Health Corporation as the featured guest.

Same phrasing both times: “Notices will be going out at the end of next week. Right now, we’re just populating it into the system to generate those notifications.” That’s the trigger that turns Alaska’s ~1,800 submitted LOIs into a real shortlist for the $272M Budget Period 1 award and tees up the first round of state-level RFPs.

Alaska DOH is running this public webinar series as the brokerage layer between vendors and Alaskan providers, organized by initiative track. Five impact sessions this week alone — Healthy Beginnings and Chronic Disease today, Healthcare Access tomorrow, Workforce on Friday.

133 people showed up to the maternal-health installment. Co-facilitators Dr. Anne Zink (now Yale SPH / Pew, formerly state CMO) and Dr. Lisa Rabinowitz (Providence Anchorage ED) explicitly framed it as a “dating session” — Alaskans and external vendors typing their names, orgs, and roles into the chat to find each other.

Maternal health: Texas-style insurer partnership as a sustainability play

The Impact Series #2 substance is built on a recognition that Alaska is losing ground on the maternal piece. Severe maternal morbidity and infant mortality both above national rates, 5 hospitals have dropped labor & delivery in the past 20 years, and most of the geography is more than 150 miles from an OB/GYN. One in 10 Alaska births already happens outside a hospital — three times the national average. The state’s response framework includes the Alaska Perinatal Quality Collaborative, the Substance Exposed Newborns initiative (4Ps Plus screening, state pays the license fee), home visiting via Nurse Family Partnership and Parents as Teachers, the Maternal Child Death Review Committee, and PRAMS/CUBS data systems — all under Becky Moresey, Section Chief for Women, Children & Family at AK DOH. Moresey openly asked the audience for visibility into who’s running maternal remote-patient-monitoring programs in the state — “we don’t really have good information” — a rare moment of program leadership admitting a market-map gap on a public call.

The model the facilitators kept holding up was the Texas Maternity Health Accelerator, specifically its payer-partnership angle: outcome gains translate into shared revenue back to the program, which is how Texas is making the work sustainable past the federal grant window. That’s a non-obvious bet for an RHTP state to surface this early — most are still optimizing for getting first-round dollars out the door, not for what happens at year five.

Chronic disease: YKHC’s playbook and a case-management gap

The afternoon session belonged to Dr. Ellen Hodges, YKHC Chief of Staff and a 23-year Y-K Delta family physician, who runs a tribal health system serving 56 tribes, 47 villages, and ~28,000 people across a roadless geography. Her framing of how to spend RHTP dollars was unambiguous: get care as close to home as possible, then strip out every barrier.

Her examples are the kind newsletter readers will remember — a mobile mammogram unit nicknamed “Sophie” that flies to sub-regional clinics in a small plane, a historical sub-regional colonoscopy program with a near-zero no-show rate, a YKHC Prescription Produce Program that ships culturally-relevant food boxes to villages, and a native-food donation program for shared subsistence harvests. Her one-liner of the session: “Make it as easy to use as TikTok.”

Dr. Sean Vanno, a 20-year Alaska family physician (Kodiak → Ketchikan → Bethel) described the tribal-vs-non-tribal integration gap with surgical clarity: tribal systems bundle diabetes, behavioral health, dental, optometry, and disease-specific case management into one organization, while non-tribal rural communities operate without that scaffolding.

His prescription: “Low-hanging fruit would be to develop case management for those areas that do not qualify for tribal health or federally qualified health.” That’s a concrete RHTP play hiding in plain sight — a state-funded case-management layer for the rural patients who aren’t already attached to a tribal or FQHC integrated system. 8 of Alaska’s top 12 causes of death are chronic diseases and only a quarter of Alaskans had a blood sugar test in the past three years — the LOI shortlist that drops next week will tell us whether the state’s $272M finds its way to that kind of upstream prevention work, or whether it gets absorbed into tertiary build-outs.

Read more

• New Mexico webinar info & upcoming opportunities

• Louisiana RHT Summit and vendor registration

• Tennessee lists a slew of upcoming RFPs

• Alabama launches RHTP website

• Iowa has a New Healthy Hometowns RFP for Combat Cancer Health Hub Program, RFI for Maternal Health Hub and Spoke Networks of Care

• Vermont pushes 4 new NOFOs on Friday afternoon

• Georgia opens new grants portal and Care to Consumer: Telepods grant

• Lousiana out with $5.63M Rural Clinician Credit Bank opportunitites

New Mexico webinar info & upcoming opportunities

Full webinar run:

5/13/2026 Webinar

Webinar Presentation Deck: NM_RHT Program Webinar_051526 (Investment & Partnership Approach slide edited for correctness)

Webinar FAQ: To be posted soon…

See also:

Upcoming Opportunities

• Rural Health Data Hub

  • Expected release date late-may, early June

• Healthy Horizons

  • Expected release date: mid-late May

• Rooted in New Mexico

  • Expected release date: mid-late May

• Rural Health Innovation Fund

  • Expected release date: mid-late May

Louisiana RHT Summit and vendor registration

EVENTS

• Rural Health Transformation Summit - June 11, 2026

  • Vendor Registration

  • Save the Date Registration

• RHTP Webinars - May 21, 2026

  • Webinars

SURVEYS

• Louisiana RHTP Food as Medicine Interest Survey

Tennessee lists a slew of upcoming RFPs

• Perinatal and Pediatric Behavioral Health Teleconsultation and Education
  May 15 to June 15, 2026

• Healthy Active Rural Tennessee (HART)
  May 22 to June 22, 2026

• Healthcare Resiliency Program (HRP): Maternal Child Health
  May 29 to June 29, 2026

• Chronic Disease Prevention
  June 5 to July 6, 2026

• HRP: Service Line and Co-Location
  June 12 to July 13, 2026

• Memory Care Assessment Network (MCAN)
  June 19 to July 20, 2026

• Health Tech Innovation
  June 26 to July 27, 2026

• HRP: Make Rural Tennessee Healthy Again (MaRTHA)
  July 3 to Aug. 3, 2026

• County Health Council CARE Grants
  July 10 to Aug. 10, 2026

Alabama launches RHTP website

Previously they had a department level info-page. I will be watching— not much there yet.

Read more

• Nevada posts a Q&A re: RHOAP Eligibility and Tech Partnerships

• Colorado publishes new info on eligibilty and activities as well as a survey

• Delaware moves diabetes pilot RFP forward with enabling legislation

• West Virginia awards $2.4M for marketing and launches $1.6M RFP for Upskilling & Mentorships

• Indiana drops Initiatives 1 and 10 — MOCC and the rural preceptor stack

Colorado publishes new info on eligibilty and activities as well as a survey

• New: Eligible Rural Health Providers and Partners - Updated May 2026

• New: RHTP Grant Program RFA Activities Overview

• New: RHTP Interest Survey

Nevada posts a Q&A

Some key notes:

RHOAP Eligibility and Tech Partnerships

• Non-Profit Eligibility: The state has explicitly confirmed that non-profit organizations are fully eligible to apply for RHOAP funding.

• Tech Companies as Leads: Technology vendors are permitted to apply as the lead applicant under the RHOAP Digital & Hybrid Care Access category. To do so, the tech company must have a signed intent to contract, letter of agreement, or Memorandum of Understanding (MOU) with an eligible rural provider.

Read more

• West Virginia opens Q&A form for Smart Care Catalyst - Provider Productivity Support Fund

• Arizona reminder: Arizona Rural Health Conference is June 2-3, 2026

• North Dakota reminds on deadlines

• Georgia gears up— Competitive Grant Application Opens Tomorrow— $356,465 per award; up to 20 awards available

• Iowa posts Request for Information Healthy Hometowns Cardiovascular Health Hub and Spoke Networks of Care

• Indiana opportunities for Teleconsult/Telehealth Landscape Assessment and Program Evaluator due May 18

West Virginia opens Q&A form for Smart Care Catalyst - Provider Productivity Support Fund

Arizona reminder: Arizona Rural Health Conference is June 2-3, 2026

High Country Conference Center
201 West Butler Avenue
Flagstaff, AZ 86001
Reserve your spot!

Get Tickets

North Dakota reminds on deadlines

Deadline: May 15: Workforce & Training Opportunities

Expand Rural Health Care Rotations
Supports expanding rural clinical rotations, embedding students in rural facilities and providing short-term housing assistance.
Eligible applicants: Healthcare providers, EMS, tribes and tribal health organizations, nonprofits, public health units and education systems
Funding: Approximately $200,000 per award

Train in Place Funding Opportunity
Supports existing healthcare workers pursuing higher credentials through local, virtual, evening or weekend training programs.
Eligible applicants: Healthcare providers, EMS, tribes and tribal health organizations, nonprofits, public health units and education systems
Funding: Approximately $135,000 per award

Apply for Workforce and Training Opportunities

Deadline: May 22: Healthcare System & Community Wellness Opportunities

Rightsizing Health Care Delivery Systems for the Future
Provides technical assistance and analysis to help rural healthcare facilities evaluate service models and future community needs.
Eligible applicants: Rural critical access hospitals, federally qualified health centers and owned/operated clinics
Funding: Approximately $42,000 per award, with additional funding available for select analytics participation

Zero-Hour PE Initiative
Supports before-school physical activity programs for middle and high school students.
Eligible applicants: Rural and tribal public and private schools, REAs and school consortiums
Funding: $10,000–$70,000 per award

Community Gardens Project
Supports community garden initiatives that increase access to fresh foods and strengthen community connection.
Eligible applicants: Rural schools, civic groups, municipalities, healthcare facilities, parks and recreation entities, public health units and nonprofits
Funding: $5,000–$30,000 per award

Community-Based Walking Program
Supports organized community walking initiatives, outreach campaigns and wellness engagement activities.
Eligible applicants: Civic groups, municipalities, healthcare facilities, parks and recreation entities, public health units and nonprofits
Funding: $25,000–$125,000 per award

Apply for Healthcare System & Community Wellness Opportunities

Deadline: May 29: Behavioral Health & Community Support Opportunities

Behavioral Health Promotion Community Grant
Supports projects focused on mental health promotion, suicide prevention and substance use prevention.
Eligible applicants: Healthcare providers, tribes and tribal health organizations, schools, law enforcement, nonprofits, childcare providers and community organizations
Funding: Approximately $160,000 per award

Ensuring Safety Net Service Delivery
Supports efforts to address gaps in healthcare and behavioral health services for vulnerable populations and specialized care needs.
Eligible applicants: Healthcare providers, transportation providers, nonprofits, education systems and community organizations
Funding: Approximately $300,000 per award

Read more

• Oklahoma Governor signs RHT legislation

• North Dakota publishes scoring tool

• Colorado publishes approved project narrative— here’s the diff

• Deep dive: West Virginia’s “Health to Prosperity” economic development approach to RHT

• Utah forecasts $9.8M in awards across four upcoming opportunities

• Vermont is out with an Artifical Intelligence (AI) Transcription/Scribe Technology RFP

Oklahoma Governor signs RHT legislation

Oklahoma HB3066: Signed by Governor Stitt on May 11. The bill creates the Oklahoma Rural Health Transformation Program inside the State Department of Health and stands up a Rural Health Transformation Revolving Fund to manage Oklahoma’s $223,476,948.62 Year 1 RHTP award. It also sets the purpose-and-intent language and rulemaking authority for the Health Care Workforce Training Commission’s role in the state’s RHTP workforce pipeline.

This bill creates a dedicated revolving fund and ties the workforce commission’s authority to RHTP grant parameters rather than treating it as ordinary state appropriations. The bill passed the House 87-5 on March 24 and moved through the Senate without significant opposition. KGOU

Colorado publishes approved project narrative — here’s the diff

The approved budget narrative was posted late last month, but this is the first time we’ve seen the functional narrative.

The most profound difference between the final approved narrative and the earlier drafts is the overall scope and timeframe. While the draft document outlined a broad 5-year, 1 billion dollar strategy, the finalized project narrative narrows its focus exclusively to Budget Period 1, detailing a specific first-year award of 200,105,604 dollars and 17 cents.

As part of this refined focus, the final document enforces strict new spending guardrails that were absent in the draft. For example, it explicitly caps direct provider payments at 15 percent of the total grant funding per period, noting that Budget Period 1 provider payments will actually sit at 11 percent, or 21,524,573 dollars and 22 cents. Additionally, it introduces specific caps on infrastructure spending, limiting Electronic Health Record replacements to a maximum of 5 percent, or 205,280 dollars, under Initiative 5.

In terms of state operations, the final narrative trims administrative overhead while increasing the state workforce capacity. The draft versions projected administrative costs at 2.98 percent of the total allowable funds and requested 18 new Full-Time Equivalent positions at the state level to manage the grant. The finalized narrative lowers that administrative budget cap to 2.65 percent but increases the state staffing request to 19 new Full-Time Equivalent positions to ensure adequate oversight.

Several programmatic guardrails were also added to the final version to comply with federal restrictions, particularly concerning nutrition and workforce development. In the initial drafts, Initiative 1 allowed funding to be used broadly for growing and cooking food, expanding SNAP waivers for purchasing prepared foods, and general food as medicine interventions. The final narrative renames this initiative to Transforming Rural Care: Chronic Disease Prevention, Training, and Management, and adds explicit language stating that no funds will be used to purchase food. Instead, the final version restricts nutrition funding to patient education, healthy food storage supplies, and food bank capacity support. Similarly, while the drafts allowed Initiative 6 funds to cover application and credentialing fees for health workers, the final version explicitly notes that health worker training and professional development is funded excluding credentialing.

Finally, the state altered the terminology it used for its innovative care models. The draft narratives heavily referenced piloting a specific CARPE DIEM framework for rural hospital transformation. In the final approved version, the CARPE DIEM terminology was removed entirely and replaced with a broader emphasis on Whole Person Health and Support for Alternative Care Models.

North Dakota publishes scoring tool and FAQ

Always helpful seeing rubrics and what others are asking.

Read more

• New Mexico posts RHTP Webinar info

• Oklahoma puts out webinar roadshow info

• Indiana publishes detailed vendor intake spreadsheet with 120 entries— add yours as well

• Kentucky Drops Two New “From Crisis to Care” EMS RFAs

• South Dakota publishes $89.3M RFA for Digital Health Modernization, due June 30

New Mexico posts RHTP Webinar info

The New Mexico Health Care Authority (HCA) invites rural health care providers, tribal partners, community organizations, local governments, advocates, and interested New Mexicans to join the first statewide informational webinar for the New Mexico Rural Health Transformation (RHT) Program.

via email:

This webinar will include RHT program overview, Program timeline, Upcoming funding and procurement opportunities, Stakeholder engagement opportunities, Pre-submitted questions and next steps

• Date: Wednesday, May 13, 2026

• Time: 2:00 PM – 3:00 PM Mountain Time

• Format: Virtual Zoom Webinar

• Registration is required.

• Please register using the link below: https://us02web.zoom.us/meeting/register/BIk2VbxYQm6TTcSF7IBU2g#/registration

Oklahoma puts out webinar roadshow info

Muskogee Roadshow
June 10 | 3–4 p.m.
Martin Luther King Center

June RHT Program Touchpoint Webinar
June 17 | Noon–1 p.m.
Zoom

Perry Roadshow
June 18 | 2–3 p.m.
The Heritage Center

Read more

• Florida publishes Grant Writing Resources for Applicants

• Colorado upcoming events, including Advisory Committee Meeting today

• News: Alaska Legislature asks federal government for more flexibility on rural health funding (Alaska Public Media)

• Nevada launches $30M RFP for Rural Health Outcomes Accelerator Program (RHOAP)

• New Mexico publishes two huge procurements: ASO and CRHSI

Florida publishes Grant Writing Resources for Applicants

Disclaimer: The materials and resources provided here are supplemental guidance only and are intended to support applicants in developing their proposals. They do not replace, revise, or override any official funding announcement from the Agency. In the event of any conflict, the funding announcement governs. Applicants are responsible for ensuring full compliance with all funding announcement requirements.

Colorado upcoming events, including Advisory Committee Meeting today

Webinars

• Allowable/Non-Allowable Expenses:

  • Tuesday, May 19, 2026 from 12 - 1 p.m.

  • Join us for a one-hour webinar on allowable vs. non-allowable expenses, facilitated by the HCPF RHTP team. The main presentation will take about 30 minutes, with Q&A time to follow. This webinar will be essential for any RHTP applicants in their program planning and in designing budgets. Register here.

• How to Prepare for this Grant:

  • Tuesday, May 26, 2026 from 12 - 1 p.m.

  • Join us for a one-hour webinar that will help you prepare for this grant in advance of the RFA, Q&A will follow. Register here.

• Future Topics, dates coming soon

  • Vendor and Partnerships

  • How to fill out the RFA

Rural Health Transformation Program Advisory Committee Meeting: Monday, May 11, 4-4:45 p.m.

Zoom link: https://us02web.zoom.us/j/82567327481

News: Alaska Legislature asks federal government for more flexibility on rural health funding (Alaska Public Media)

Alaska received $272 million in the first round — the largest per-capita award in the country and the second largest overall — and is on track for nearly $1.4 billion over five years. The state’s Department of Health says it received nearly 1,800 proposals for how to spend just the first tranche, but legislators say funding restrictions, including a prohibition on using the money to construct or expand healthcare facilities and a deadline that requires the first round to be allocated by the end of September and fully spent within the following year, do not match Alaska’s logistical reality. Alaska Public Media

The resolution’s main sponsor, Rep. Genevieve Mina (D-Anchorage), chair of the House Health and Social Services Committee, told colleagues during March floor debate that lawmakers needed more guidance from CMS before they could weigh the trade-offs the state is being asked to make. As per Alaska Public Media: “We want more clarity on what these provisions would mean in terms of the award that we currently have and the money that we lose. We don’t have that guidance right now.” Sen. Forrest Dunbar (D-Anchorage), chair of the Senate Health and Social Services Committee, said in the same coverage that “It’s not clear that that money can go where it’s most needed. It’s not a huge amount of money relative to the challenges we face.”

Behind the resolution sits a more concrete fiscal worry: Alaska’s RHTP application committed the state to passing a series of interstate license compacts and a pharmacist scope-of-practice expansion, none of which have cleared the Legislature. CMS has not specified how much money could be clawed back or withheld from future grants if those bills aren’t passed by the end of 2027. KYUK HJR32 passed both chambers and is awaiting transmittal to the governor. As a resolution, it cannot be vetoed.

Read more

Read more

Legislative roundup

Alabama gets CMS approval and posts a launch timeline

Montana posts a follow-up to a popular meeting and pushes a vendor networking opportunity & mega contact list

New Mexico posts about vendor engagement on May 13

Oregon Health Authority Announces Funding for Rural Hospitals and Rural Health Clinics

North Dakota posts video and slides from RFP technical assistance calls

Legislation Watch: Primary RHT Legislative Actions

One bill on this week’s list is explicitly framed around the Rural Health Transformation Program — Alaska’s House Joint Resolution articulating the legislature’s vision for the state’s first-year RHTP award.

HJR32 cleared the House and was advanced to third reading on the Senate calendar on May 8 — the procedural step before a final Senate floor vote.

Appropriation & Budgetary Links

Five bills across four states are the actual money pipes — appropriations vehicles where RHTP federal dollars flow into state-level spending authority.

Alaska HB263: Alaska’s operating budget — version SCS CSHB 263(FIN) AM S, the Senate-side committee substitute as amended on the floor. This is the companion appropriation Alaska needs to give the Department of Health legal spending authority over its $272 million federal RHTP award. Without legislative appropriation, the federal money cannot reach communities, and the state has a hard end-of-2026 spend-down deadline before unspent dollars revert. Alaska Beacon

The bill has now passed one chamber and is moving in the Senate. The broader fiscal picture has been covered closely by state press, which has framed the December federal award and the legislative spending authority as two parts of the same problem. Alaska Public Media

Arkansas HB1068 — now Act 170: Arkansas’s FY 2026-2027 Department of Finance and Administration operations appropriation, signed into law in March. The amended bill carries Rural Health Transformation Program appropriations payable from federal funds — the legislative wrapper that lets DFA Shared Services receive and disburse Arkansas’s $208.8 million FY26 RHTP award. Arkansas Governor

The first wave of subgrant applications opened in early May, with $55.6 million flowing through THRIVE-branded initiatives and the balance of the $209 million expected to be awarded by fall. Act 170 is the state-level spending authority that makes those subgrants legal. Talk Business & Politics

Florida S2500: The Senate appropriations bill refiled for the 2026 Extraordinary Session (2026E) — Florida’s FY 2026-27 budget vehicle after the regular session ended without a final deal between Senate and House. Florida’s RHTP funding is moving through this appropriation; the DeSantis administration posted RHTP grant applications earlier this spring, and the rural renaissance package Senate President Ben Albritton championed was substantially scaled back when the chamber agreed health care components could be covered by federal rural health dollars instead of state general revenue. Florida Phoenix

The special session is scheduled May 12 through May 29; Senate leadership has confirmed identical bills to the package the chamber already passed in regular session will be refiled, with conference committee differences hashed out on the floor. Florida Politics

Missouri HB2011: Missouri’s FY 2027 Department of Social Services appropriations bill — the vehicle for the bulk of Missouri’s $216 million annual RHTP award. The House has passed HB2011, and the bill has now moved to the Senate, where appropriators are working in parallel on SB1760, the Senate-origin version. Missouri Independent

A separate House-passed supplemental spending bill earlier in the session included $100 million of the $216 million in federal RHTP money — the down payment on FY 2026 spending while HB2011 sets the FY 2027 baseline for community health care hubs, recruitment and retention, and provider data-sharing infrastructure. Missouri Independent

Missouri SB1760: The Senate companion to HB2011 — introduced February 25, second-read, and referred to Senate Appropriations. The two chambers are running parallel budget tracks; once one or the other clears both chambers, RHTP funds at the state level will have a legal channel to flow. Conferees are now assembling the final FY 2027 framework. Missouri Independent

Read more

• North Carolina launches newsletter

• Tennessee wants to stay in touch, too

• Legislation watch: Alaska - Nebraska - Hawaii moving

• Maryland posts three opportunites, including $6.3M Primary Care

• Oklahoma posts data-rich Legislative Quarterly Report

North Carolina launches newsletter

Hit them up here:

Sign up for the Rural Health Transformation Program Newsletter.

Tennessee wants to stay in touch, too

Stay informed and sign up to get notified when the Rural Health Transformation Program officially announces funding opportunities.

Legislation watch: Alaska - Nebraska - Hawaii moving

Three measures this week move directly on RHTP implementation — Alaska’s House sending its rural health transformation resolution to Rules, Nebraska absorbing its Rural Health Transformation Fund into the broader cash-transfers vehicle the Governor signed, and Hawaii’s House asking Maui Health to use the state’s RHTP allocation to stand up a long-promised residency program.

Alaska HJR32: A House Joint Resolution focused entirely on the Rural Health Transformation Program — the vehicle the legislature is using to formally engage with Alaska’s $272 million first-year RHTP award and the up-to-$1.36 billion the state stands to receive across the five-year window. The resolution moved out of Health & Social Services with a committee substitute, cleared the House 40-0 on March 25, and is now on the calendar at Rules as of May 7, with the Senate side waiting in Rules as well. Alaska Beacon

The political backdrop matters: state officials have publicly told lawmakers they don’t yet have a clear plan for the legislative scaffolding Alaska needs to keep all $1.36B flowing through 2030, and HJR32 is part of how the legislature signals it is not going to let the program run on executive autopilot. Alaska’s News Source

The Department of Health has already opened the Year 1 Letter of Interest window (Feb 17 – Mar 11, 2026) and published six initiative pillars covering maternal/child health, access, workforce, technology, fiscal sustainability, and prevention — meaning HJR32 is moving while applications are already in flight. Alaska Public Media

Nebraska LB1229: The standalone bill to create the Rural Health Transformation Fund and define how Nebraska handles the $218.5 million CMS revised-award it received on Feb 27, 2026. As introduced, LB1229 directs the State Treasurer to credit any RHTP funds received under Section 71401 of P.L. 119-21 to a dedicated state fund, restricts spending to federally authorized purposes, and conditions distribution on each initiative receiving an approved sustainability plan. Nebraska Public Media

LB1229 is no longer moving as a standalone bill — its provisions were folded into LB1072 via amendment AM2165, the broader Cash Reserve Fund / fund-transfers vehicle that Governor Pillen signed on April 7. Functionally, this means Nebraska’s RHTP fund architecture is now law, but it lives inside a much larger statutory package. Nebraska Legislature

Application activity is already underway: DHHS is accepting subgrant applications across seven RHTP initiatives, with awards expected to begin Spring 2026. Office of Governor Jim Pillen

Hawaii HCR173: A House Concurrent Resolution urging Maui Health System, the John A. Burns School of Medicine, and the administrators of the Hawai’i Rural Health Transformation Plan to collaborate on standing up a full medical residency program on Maui — explicitly naming the state’s RHTP allocation as the primary funding vehicle. The resolution passed on April 24 and is now scheduled for one-day notice on May 8. Hawaii News Now

Hawai’i was awarded $188.9 million for the first year of the federal program, and its CMS-approved plan includes dedicated workforce-pipeline funding for rural training sites, residency expansion, and clinician recruitment in under-resourced communities — meaning HCR173 is effectively the legislature directing one of the state’s largest hospital operators to claim a slice of that pipeline. Office of the Governor

The resolution requires Maui Health to report findings and progress — including the status of any efforts to access RHTP capital — to the legislature at least twenty days before the 2027 regular session.

Appropriation & Budgetary Links

Four budget vehicles in motion this week carry RHTP money or RHTP-adjacent stabilization funding: Missouri’s FY2027 DSS appropriation has been Truly Agreed, Nebraska’s LB1072 became the law that absorbed the RHTP fund language, Alaska’s supplemental operating budget advanced to third reading, and Minnesota’s omnibus HHS supplemental cleared the Senate.

Missouri HB2011: The FY2027 Department of Social Services appropriations bill — the statutory vehicle through which RHTP funds will reach Missouri’s MO HealthNet division and the planned Rural Health Transformation office inside DSS. Missouri received $216 million for the first RHTP year, ranking 9th among state awards nationally, and CMS has indicated all funds must be under contract by the end of Year 1 even though spending can extend into Year 2. Missouri Independent

A separate House supplemental spending bill earlier in session already moved $100 million of the $216 million tranche to bridge implementation, pushing the state’s overall budget past $55 billion. HB2011 is the FY2027 vehicle that carries the steady-state RHTP appropriation forward. Missouri Independent

HB2011 has now been Truly Agreed To and Finally Passed by both chambers and is heading to the Governor.

Nebraska LB1072: The Cash Reserve Fund transfers and statutory-program omnibus that absorbed LB1229’s Rural Health Transformation Fund provisions via AM2165. Governor Pillen signed LB1072 on April 7, 2026, making it the operative law that codifies how Nebraska holds and spends the $218.5 million first-year CMS award. Nebraska Legislature

Subgrant applications across Nebraska’s seven RHTP initiatives — workforce, access, technology, and others — are open, with funding awards anticipated to begin in Spring 2026. Nebraska Public Media

Alaska HB263: The supplemental operating budget bill (introduced as the 30th-day supplemental on Feb 18) that now carries language relevant to spending authority for the federal rural health funds. Alaska state officials have repeatedly told lawmakers they need legislative authorization in place to keep the full $1.36B flow intact through 2030 — supplemental and operating-budget vehicles are how that authorization is being layered in this session. Anchorage Daily News

HB263 advanced to third reading on the May 7 calendar and is on track for a House floor vote.

Minnesota SF4612: The 2026 omnibus Health and Human Services supplemental appropriations bill, passed by the Senate April 29, designed primarily to backfill federal cuts and cost-shifts triggered by H.R. 1 / OBBBA — with over 90% of the spending in the bill aimed at offsetting federal impact, including stabilization funding for HCMC and critical access hospitals across rural Minnesota. Minnesota Senate DFL

The state-side stabilization in SF4612 sits alongside Minnesota’s $193 million first-year RHTP award, which MDH has already begun deploying through subgrant solicitations released March 18 with applications due May 15 — formula-based awards of up to roughly $1.4 million per hospital across an expected 94 hospital recipients. Minnesota House Session Daily

SF4612 was placed on the Calendar for the Day for May 7 under House rule 1.21.

Read more

• Beefy Legislation Watch

• Texas starts the process of awarding $56M to rural hospitals around chronic disease

• Arkansas ramps up engagement with $55.6M THRIVE award process soon

• Colorado posts vendor interest form and registration for vendor webinars

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Legislation Watch

Primary RHT Legislative Actions

One bill in this batch was explicitly written to stand up RHTP infrastructure at the state level — Oklahoma’s bid to anchor the workforce piece of its CMS plan with a dedicated revolving fund.

Oklahoma HB3066: Establishes the Rural Health Transformation Revolving Fund inside the state’s Health Care Workforce Training Commission (HWTC) and routes Oklahoma’s RHTP workforce dollars through it. The fund is statutorily authorized to receive Rural Health Transformation Program funds, related federal awards for recruiting and retaining clinical workforce in rural and underserved areas with a five-year service commitment, and other lawful deposits. Disbursements are limited to workforce recruitment and retention or to “other lawful purposes established by the One Big Beautiful Bill Act of 2025,” tying the fund’s spending authority directly to Section 71401. Authored by Rep. Ellen Pogemiller (D-Oklahoma City). TrackBill

The bill cleared the House 87-5 on March 24 and has now moved through the Senate to the governor’s desk. Oklahoma Watch’s coverage of the broader fiscal context — Stitt warning legislators in his February 2 State of the State that “the federal government isn’t a reliable partner” and pushing rein-in spending posture even as $223 million in federal RHTP money lands in Oklahoma — is the political backdrop for why workforce-targeted vehicles like HB3066 matter to the state’s plan. Oklahoma Watch

The companion bill, HB4040 (Caldwell/Haste), creates a parallel Oklahoma Rural Health Transformation Revolving Fund at the State Department of Health to receive the headline RHTP cash; that bill was signed into law by Gov. Stitt on April 23 in a 33-bill batch. HB3066 awaits signature and would take effect July 1, 2026 with an emergency clause attached, meaning the HWTC fund and its rulemaking authority go live the moment Stitt signs. Oklahoma Governor’s Office

Appropriation & Budgetary Links

Seven of this week’s bills are state operating-budget or HHS-appropriation vehicles in which RHTP money flows through as line items rather than as the bill’s central purpose. These are the vehicles to watch when state-side spending authority unlocks.

Missouri HB2011: Missouri’s FY2027 Department of Social Services appropriations bill — the legislative vehicle through which the state’s $216 million Year 1 RHTP award is appropriated. House Budget Committee Chairman Dirk Deaton (R) and Senate Appropriations Committee Chairman Rusty Black (R) reached a conference compromise on Monday, May 5, after a day-long meeting; lawmakers expect final votes today, May 6, two days before the constitutional deadline. The final FY2027 spending plan lands between the Senate’s $50.8 billion and the House’s $52.4 billion. Missouri Independent

The package will require general-revenue draws of about $16 billion and tap roughly $2.4 billion in surpluses accumulated 2021-2023 to cover the deficit to expected revenue — a fiscal posture that’s tightening earmarked spending statewide even as RHTP federal dollars flow into the DSS line. KSMU

CMS approved Missouri’s Year 1 budget for the period running through September 30, 2027, and the state’s RHTP strategy — Transformation of Rural Community Health (ToRCH) Care — centers on community health hubs, workforce recruitment and retention, and provider data-sharing infrastructure. Missouri’s appropriation rules require legislative action before the federal money can hit subgrantees, which is why HB2011’s passage is the gating step. Missouri Independent

Alaska HB263: The FY2026 operating budget — the appropriation vehicle for Alaska’s $272 million Year 1 RHTP award, the largest per-capita award in the country. The Alaska House passed the bill 21-19 along caucus lines on April 9 with a $1,500 Permanent Fund Dividend; the Senate Finance Committee responded April 24 with a draft proposing a smaller $1,000 PFD plus a $150 one-time energy relief payment. Alaska Beacon Alaska Beacon

The five-year RHTP ceiling is about $1.36 billion if Alaska continues to perform — a figure the state’s congressional delegation and governor’s office have used to frame the program as the largest single federal health investment in Alaska’s history. The Department of Health is seeking $200 million in federal receipt authority inside HB263 to accept and expend the Year 1 award, which must be obligated by end of calendar 2026 or face clawback. Alaska Beacon

HB263 was engrossed April 21 and is on the Rules calendar for a Senate floor vote today, May 6 — the procedural posture suggests the Senate is ready to send a substitute back to the House before the conference fight over the PFD differential begins.

Michigan SB0878: The Senate’s omnibus appropriations bill, passed 19-18 along strict party lines on April 29 — sending Senate Appropriations Chair Sarah Anthony’s $88.12 billion FY2026-27 spending plan into negotiations with Gov. Whitmer and House leadership. The Senate proposal includes $14.15 billion from the state general fund. Michigan Advance

The Senate’s MDHHS-specific bill (SB857) carries the state-side appropriation framework for Michigan’s $173,128,201 RHTP Year 1 award. The Michigan House Appropriations Committee took rural-hospital testimony specifically on RHTP fund deployment during deliberations on the parallel House budget — CEOs from UP Health System, Kalkaska Memorial Health Center, and Munson South Region pressed on maternity deserts in 22% of Michigan counties, at least 11 labor-and-delivery closures since 2010, EMS strain, and behavioral health gaps, all asking that RHTP money be targeted to those specific challenges. Budget language in the Senate’s package encourages MDHHS to allocate RHTP funds in a timely manner. Michigan Health & Hospital Association

SB0878 has now been referred to the Michigan House Appropriations Committee for second-chamber review. The Senate-House gap is wide — Michigan Public’s reporting flagged a $12 billion gulf between the two chambers’ proposals — meaning rural health line items will likely be relitigated in conference. Michigan Public

Minnesota SF4612: The Senate’s 2026 omnibus Health and Human Services supplemental appropriations bill, passed by the Senate on April 29. The bill puts roughly $700 million above base levels into the state’s healthcare and food security system, with more than 90% of that going to backfill federal HR1 / OBBBA Medicaid cuts and county cost-shifts. The package also codifies new Medical Assistance eligibility requirements imposed by the federal bill. Minnesota Senate DFL

The bill is paired with Minnesota’s $193 million RHTP Year 1 award (announced December 29, 2025) as the budgetary frame around the state’s rural-hospital stabilization push — direct support intended to “keep the lights on and machines beeping” at HCMC and at critical access hospitals statewide. MDH released its first round of RHTP subgrant opportunities for rural hospitals, rural FQHCs, Rural Tribal Nations, and rural mental health centers on March 18, with applications due May 15. Minnesota Department of Health

SF4612 is on second reading and headed for conference. A companion tax bill creating a separate revenue stream for HCMC was introduced alongside it.

Minnesota HF4466: The House companion omnibus health and human services finance bill, framed as Minnesota’s mechanism for prioritizing compliance with the federal “One Big Beautiful Bill” — which is the same legislative action that authorized the RHTP. The House version cleared Ways and Means narrowly, 15-13. Minnesota House Session Daily

HF4466 has now been indefinitely postponed in the House, signaling that the Senate’s SF4612 is the live vehicle the conference will work from. Worth tracking only for the parts of the policy bill that may resurface as Senate amendments.

North Carolina H1167 and H1146: Twin House vehicles for Governor Stein’s $35.24 billion biennial budget proposal, filed in late April as the short session opened. These bills carry the state-side appropriation authority for the $213 million RHTP Year 1 award announced in December 2025 — the first of five annual payments expected to total more than $1 billion if North Carolina meets CMS performance benchmarks. NC Governor’s Office

Both bills were referred to the House Committee on Appropriations on May 4 — the standard “if favorable, Rules, Calendar, and Operations of the House” routing for short-session housekeeping before substantive markup. The fiscal posture: Stein’s plan halts scheduled corporate and individual income tax cuts, includes an 11% average teacher raise, and provides $319 million to fully fund Medicaid. WRAL’s ongoing capitol coverage flags this as the framework for absorbing post-OBBBA Medicaid pressure while still standing up the state’s RHTP-funded rural strategy. WRAL North Carolina Health News

H1167 and H1146 are paired tracking targets with H696, which codifies the Rural Health Transformation Plan into state statute and sets the multi-year DHHS reporting cadence to the General Assembly running November 29, 2026 through November 29, 2030.

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• Alaska, North Carolina, and Minnesota legislation movements

• Montana launches competitive application for the RHTP Center of Excellence Advisory Council

• Montana issues RFI on Medicare/Medicaid duals interventions — first signal toward a forthcoming RFP

• New Mexico announces May 13 webinar on funding opportunities

• Michigan launches dedicated RHTP subrecipients award page w/ $15M appropriated to 6 entities

• North Dakota out with $1.7M Behavioral Health Promotion Community Grant RFP

• Kentucky publishes RHT $10M Opportunity to Establish or Expand Accredited Dental Hygiene Programs RFA

• USASpending posts first material Year 1 outlays for 9 states; West Virginia and Kansas lead the draw

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Legislative Watch

Alaska has a sweeping compacts-and-governance bill written to satisfy commitments the state made in its $1.36 billion application to CMS.

Alaska SB281: A sprawling omnibus written explicitly to satisfy commitments Alaska made in its Rural Health Transformation Program application. The bill enrolls Alaska in four interstate licensure compacts — the Interstate Medical Licensure Compact, the PA Licensure Compact, the Psychology Interjurisdictional Compact, and the EMS Personnel Licensure Interstate Compact — and establishes a Rural Health Transformation Program Advisory Council to govern the state’s $272 million Year 1 award. A companion bill, HB352, runs in parallel in the House. SB281 has been referred to Senate Labor & Commerce.

North Carolina H1167, H1146, S915: The House and Senate vehicles for Governor Josh Stein’s $35.24 billion biennial budget proposal, all filed at the late-April short session opening. These bills carry the state-side appropriation authority for the $213 million Year 1 RHTP award North Carolina received in December 2025, plus expected future tranches that bring the program total above $1 billion over five years. S915 has been re-referred to the Senate Committee on Appropriations/Base Budget; H1167 and H1146 remain in Filed status awaiting committee assignment.

Josh Stein’s $35.24 billion biennial budget proposal, filed in late April 2026 as the short session opened. The vehicles carry the state-side appropriation authority for the $213 million CMS awarded North Carolina under RHTP in December — the first of five annual payments totaling more than $1 billion if the state meets CMS performance benchmarks. The Stein budget halts scheduled corporate and individual income tax cuts, includes an 11% average teacher raise plus 2.5% for all state employees in both fiscal years, and provides $319 million to fully fund Medicaid. WUNC

RHTP money will flow into a Rural Health Innovation Fund supporting workforce, technology, behavioral health access, and locally governed hubs that link medical, mental health, and social support services. North Carolina Health News These bills sit alongside H696, the previously enacted RHTP codification statute that defines the state program by reference to Section 71401 and sets a multi-year reporting cadence to the General Assembly.

H1167 and H1146 are filed and awaiting committee assignment, with referral to the Committee on Appropriations followed by Rules.

Minnesota SF4612: The 2026 supplemental Health and Human Services omnibus passed the Senate on April 29 and includes nearly $300 million to stabilize Minnesota hospitals — $150 million for HCMC, $114.8 million for a general hospital stabilization program, $17.6 million for community-based safety net providers, and $15 million for a new rural EMS uncompensated care pool payment program. The bill explicitly backfills federal budget cuts and county cost shifts following passage of HR 1 (the One Big Beautiful Bill Act), with more than 90% of new spending going toward that backfill. Minnesota Senate DFL

The connection to the RHTP runs through the same federal vehicle — Minnesota was awarded $193 million in RHTP funds for FY2026, and SF4612 is the state’s parallel investment to keep rural and safety-net hospitals viable while RHTP subgrants ramp up. MDH released its first round of RHTP subgrant opportunities on March 18 with applications due May 15, 2026. MN Department of Health

SF4612 received first reading in the Senate file and was referred for comparison with HF4466.

Minnesota HF4466: The House omnibus health finance bill, sponsored by Rep. Robert Bierman (DFL-Apple Valley), brings the state into compliance with the federal HR 1 changes to Medicaid — including new federally mandated work requirements for adults without children. House nonpartisan staff estimated the bill would save the state $15.9 million in this biennium and $136 million in the next biennium, primarily from cuts around the state’s Medicaid expansion population. Session Daily

The bill cleared the House Ways and Means Committee 15-13, with Bierman reluctantly carrying the compliance package and warning that the changes “would set healthcare in the state back a decade” but that Minnesota risks losing $3.5 to $4 billion a year if it falls out of federal compliance. Session Daily HF4466 has been referred to the Chief Clerk for comparison with SF4612 — the standard pre-conference posture for Minnesota omnibus bills.

Montana opens applications for Center of Excellence Advisory Council

Detailed application instructions and further information regarding the RHTP can be found at DPHHS website. The application window closes at 11:59 p.m. on May 22, 2026.

New Mexico announces May 13 webinar on funding opportunities

Join the Health Care Authority for an overview of the Rural Health Transformation (RHT) Program, including funding opportunities, timelines, and how to engage.

Date: May 13, 2026 Time: 2:00PM MST

Join us to learn about:

• Overview of RHT Program initiatives

• Upcoming funding and procurement opportunities

• How providers and communities can participate

• Q&A (responses will be provided for pre-submitted questions only)

Register for the webinar here: registration link forthcoming

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• Rhode Island w/ the info

• North Carolina announces leads

• Alaska info session in Fairbanks tomorrow (complete form if you can’t get there)

• Utah posts $15M Value-Based Care Models RFP

• Iowa will post Combat Cancer Health Hub Program, Round 2 soon

• South Dakota posts “Building a Sustainable Rural Healthcare Workforce: Education” RFP

• Delaware posts a comprehensive update

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Rhode Island posts overview slide deck

Dated March 2026 but just posted last week

Oklahoma posts video of webinar ON Chronic Disease Management Program RFP

North Carolina announces ROOTS Hub leads

• Impact Health – Region 1

• Trillium Health Resources – Region 2 and 5

• Vaya Health – Region 3

• University of North Carolina Hospitals – Region 4

• Access East, Inc. – Region 6

Alaska is holding an RHTP Regional Meeting tomorrow

If you are unable to attend but would like to contribute ideas, questions, or discussion topics related to the Rural Health Transformation Program to one of the Regional Meetings, please submit your thoughts using our Community Input Form.

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