On December 29th, the Centers for Medicaid & Medicaid Services (CMS) announced that all 50 states will receive funding under the Rural Health Transformation Program (RHTP), which was created through the One Big Beautiful Bill Act (OBBA).  The first-year awards range from $147 million to $281 million. The program’s total funding of $50 billion will be allocated to approved states, with $10 billion available each year from 2026 through 2030. While 50% of the funding is distributed equally among all approved states, the other 50% is allocated based on a variety of factors. You can read abstracts of each state’s proposal and budget request on the CMS website.