Rural Health Payout

Tracking State Rural Health Transformation Plans

Updated Sept. 11, 2026
Originally published July 27, 2026

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

Choropleth map

Source: <a href="https://www.cms.gov/newsroom/press-releases/cms-announces-50-billion-awards-strengthen-rural-health-all-50-states&quot; target=_"blank">Centers for Medicare & Medicaid Services</a>

Table

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

Note: Data collected as of Sept. 11, 2026. KFF Health News reporters searched state websites, requested documents, and filed public records requests. KFF Health News continues to collect documents.

Sources: Documents publicly posted online or released in response to KFF Health News requests; <a href="https://www.cms.gov/newsroom/press-releases/cms-announces-50-billion-awards-strengthen-rural-health-all-50-states&quot; target=_"blank">Centers for Medicare & Medicaid Services</a>

Arielle Zionts
Sarah Jane Tribble
Lydia Zuraw

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