RHTP tracker
The program. $10 billion a year into rural health from 2026 through 2030, totaling $50 billion. CMS awarded every state on December 29, 2025: half split evenly among all states, half based on the strength of each state's plan. Year-one awards run from $147 million to $281 million. The money goes to states, not hospitals. A hospital secures the funds through its state's approved plan and the procurements the state runs against that plan.
Orange bars show the share of a state's posted RHTP opportunities still open, closing soon or announced as upcoming. Across all 50 states, 68 windows are open, closing soon or coming. In the other 28 states, every posted opportunity has closed for now: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Hawaii, Idaho, Kentucky, Louisiana, Michigan, Montana, Nevada, New Jersey, New Mexico, New York, North Dakota, Oregon, Pennsylvania, South Carolina, South Dakota, Texas, Vermont, Washington, Wisconsin and Wyoming. Closed means the application window has passed, not that funds were awarded. Counts come from Rural Care Journey, which compiles state solicitations daily from public sources; confirm details with your state before applying.
This is CMS's first state-by-state report on year-one spending. It covers December 29, 2025 through July 31, 2026, and CMS says it is not a full view of state progress. The next update follows states' November 30 quarterly reports. Read the CMS report · Becker's summary
Ohio. $202 million in year one, with $142.5 million across 12 state opportunities. As of July 31, CMS reports $26.5 million at work, including $10 million to Ohio University for rural workforce development, $7 million for maternal and infant home visiting, $4 million for rural school-based health centers and $2 million to the Ohio Pharmacists Association. Two solicitations are closing now, including the Rural Hospital Training and Technical Assistance Center on October 20.
Also announced: North Carolina, more than $17 million for rural behavioral health and mobile crisis teams (October 7), and South Dakota, $7.2 million for ambulance-based telemedicine (October 2).
From the CMS post-award FAQ (April 2026): CMS does not pre-review state RFPs or contracts. States may talk with prospective subrecipients before their budgets are approved, but cannot sign agreements or let work start until then. Any funds not obligated within the budget period are redistributed to other states. Drawn funds cannot sit for more than three working days, which pushes states toward reimbursement-style arrangements. Changing an approved initiative takes written CMS approval and data.
Federal fiscal year 2027 began October 1, and states file non-competing continuation applications for year two. Expect more state announcements like October's as year-one money moves to hospitals and partners. Funds a state does not obligate in time go to other states, so open windows matter.
Sources: CMS, Iowa · CMS, Alabama · CMS, Louisiana · CMS, RHTP obligated funds report · CMS post-award FAQ · Rural Care Journey, all states · Rural Care Journey, Ohio · RHIhub, Ohio RHTP