West Virginia Remote Monitoring RFI, Nevada awards, Indiana Pre-Proposal Conference
Info from MT, ND, KS, CO, and NV
In this issue:
Legislation Watch AK + TN
Montana creates Vendor Information page
North Dakota posts updates on Rural Hospital Clinical Equipment initiative
Kansas posts instructional video, webinar, and slides
Colorado out with Fact Sheet: Supplanting vs Supplementing
Nevada announces funded projects under Rural Health System Flex Fund
Indiana: June 11, 2026 Pre-Proposal Conference
West Virginia notifies about CCG - Outpatient (OP) Remote Patient Monitoring (RPM)
Legislation Watch AK + TN
Alaska HB110: Joins Alaska to a slate of interstate licensure compacts — covering physicians, physician assistants, psychologists, social workers, and EMS personnel — to ease cross-border credentialing for rural providers. The connection to the federal program is explicit, not inferred: the Department of Health told CMS in Alaska’s application for a share of the $50B Rural Health Transformation Program that the state would join these compacts, and Alaska is on track to receive more than $1 billion over five years. As Anchorage Democratic Sen. Forrest Dunbar put it ahead of the vote, “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 Public Media
The bill passed the House unanimously but drew a 13-7 vote in the Senate, with all the no votes coming from members of the bipartisan majority — a rarity. Sen. Cathy Giessel, a nurse practitioner and the chamber’s No. 2 leader, objected to ceding state authority over scope of practice, and noted that officials have been unable to say exactly how much RHTP money is at risk if Alaska doesn’t join. A companion measure, HB195, which lets pharmacists treat minor and chronic conditions, was passed the same day for the same reason; a separate nurse-licensure compact stalled amid union opposition and did not pass this session. Alaska Public Media
HB110 passed both chambers on the final day of session and now awaits Gov. Mike Dunleavy’s signature; his office said he would evaluate the bills.
Appropriation & Budgetary Links
Broad budget bills that aren’t about the RHTP, but are the channels through which the federal money is authorized and spent.
Alaska HB263: The operating-budget vehicle that layers in spending authority for Alaska’s RHTP award. The state’s first-year payment of $272 million — the largest federal health investment in Alaska history, with the five-year total projected at up to $1.36 billion — cannot reach subgrantees without legislative appropriation. A legislative budget and audit committee approved an initial $200 million in federal receipt authority in November, with the expectation that the full figure would be carried through the budget process this session. Anchorage Daily News
The timeline is the pressure point: Alaska must obligate the entire $272 million by the end of calendar 2026 or forfeit the unspent balance to redistribution — a deadline lawmakers say they were given little briefing on before the strings became clear. Alaska’s News Source HB263 passed both chambers.
Tennessee HB2631: The state’s general appropriations act for the fiscal years beginning July 1, 2025 and July 1, 2026 — the budget through which Tennessee’s $206.9 million RHTP award flows at the state level. Tennessee lawmakers formally accepted the federal grant in January, pressing health officials to make the spending genuinely “transformational” across the program’s five focus areas, from maternal and child health to workforce development. Chattanooga Times Free Press The bill was signed and became Public Chapter 1142.
Tennessee SB2690: The Senate crossfile of HB2631, identical in substance. With the budget enacted, the Department of Health has begun standing up the grant pipeline — eight requests for applications and six RFPs over five months, with the first opportunities opening in July, against a CMS obligation deadline of Oct. 30, 2026. The Center Square Signed, with effective dates of 05/22/2026 and 07/01/2026.
Montana creates Vendor Information page
Also helpful: Vendor Fair Q&A and overall FAQ
North Dakota posts updates on Rural Hospital Clinical Equipment initiative
Technical assistance conference call Presentation handout and updated guidance
Kansas posts instructional video, webinar, and slides
Community Health Worker + Accountable Food is Medicine Program Funding Opportunity
The Community Health Worker + Accountable Food is Medicine (CHW+AFIM) Program grant opportunity enables eligible healthcare organizations to improve health outcomes among rural Kansans by integrating CHWs into clinical settings and delivering AFIM interventions. This opportunity will support funded organizations in onboarding CHWs into sustainable workflows and in developing AFIM interventions tailored to their communities. Applications for the CHW+AFIM grant are due June 19, 2026.




