Download the 50-State RHTP Field Guide, Q2 2026
All paid subscribers to this newsletter get access to quarterly data reports, and today we’re publishing the report for the last three months.
A practical view of the Rural Health Transformation Program based on how each state is behaving with the money
All paid subscribers to this newsletter get access to quarterly data reports, and today we’re publishing the report for the last three months. This is still a very new program and the content environment is repidly evolving— lots of people and machines are publishing aggregated scraped data about RFPs, NOFOs, and other contract vehicles.
Based on this, we’re increasingly focusing our efforts on deeper explorations of how states are actually implementing this vast program. So this quarter we’re delivering on the baseline promise: complete list of open and upcoming opportunities— but also including state-by-state RHT personality, program maturity, federal outlays, open procurements, engagement activity, rural geography, and contacts. We’re delivering three separate artifacts today:
2026 Q2 Newsletter Activity Index
https://www.civicoperator.com/work/rht/activity/
Every state activity item we logged this quarter — 438 items across 48 states — each linked to the exact section of its newsletter brief. Covering briefs from Feb 22 – Jul 2, 2026. Includes a unique view of the program you don’t get anywhere else— a map of the unique strategic personality, program maturity, and rural geography for each state.
This is available to all— no subscription needed.
For all paid subscribers, you get a link to the 50-page RHTP Field Guide PDF and the companion interactive dashboard.
What’s in this quarter’s report
A page for every state, each covering eight things you can’t easily assemble anywhere else:
Strategic personality — how the state is actually orienting its program, based on my observations of its behavior, not from the narrative they told CMS or Governor press releases
Program maturity — a five-stage model of how far each state has moved from planning to spending (24 of 50 are now in full-wave procurement)
Federal money — obligated vs. actually outlaid, per state, according to SAM.gov
Open Q3 procurements — active solicitations with ceilings and due dates
This quarter’s activity — every tracked development, linked to the exact section of the post that covered it
Rural geography — including new rural-hospital footprint maps for 25 states, plotting 1,157 hospitals by facility type
CMS performance metrics — the four quantifiable outcomes each state committed to, for all 50 states. This is cuing up all of the potential clawback activity later this year
Key contacts — the Project Director or Principal Investigator named on the CMS Notice of Award, for the 11 states whose awards have been released. This also pulls from the database we’ve built of more than 7,800 people actively involved in RHT implementation work
