CMS’s $50 Billion Rural Health Transformation Program: The Awards Date to December; States Are Now Announcing Spending

October 16, 2026

The Rural Health Transformation Program was created by Public Law 119-21, which the administration calls the Working Families Tax Cuts. It provides $50 billion over five years, $10 billion a year from 2026 through 2030. CMS awarded first-year money to all 50 states, averaging $200 million each and ranging from $147,250,806 (New Jersey) to $281,319,361 (Texas).

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