Understanding and Applying for the Rural Health Transformation Program
This blog explains how the Rural Health Transformation Program—established under H.R. 1—will channel $50 billion over five years to states to support rural health care, and outlines how states can apply, qualify, and deploy funds strategically.

The authors walk through the program’s funding structure: half the funds are to be equally split among all states that submit approved applications, while the remaining half will be competitively distributed based on metrics like rural population and health facility need.
They detail state eligibility criteria, required components of the rural health transformation plan, permissible uses of funds (such as workforce development, technology, prevention, and provider support), and key deadlines related to application submission and CMS approval. The blog emphasizes the need for coordinated state planning—with health agencies, hospitals, and rural communities—to maximize impact and readiness for implementation.
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