The Rural Health Transformation Program

The Rural Health Transformation Program Where it is and where it is going The One Big Beautiful Bill Act, or OBBBA, established the Rural Health Transformation Program, a $50 billion fund for states to use over a five-year period to improve rural health care access and quality. [Pub. L. No.119-21(2025).] The RHT program was created as a response to concerns that OBBBA could have adverse impacts on providers and patients in rural communities. All 50 states met a November 2025 application deadline for submitting a plan to the Centers for Medicare and Medicaid Services for how they would use their share of RHT program funding. On Dec. 29, the amounts awarded to each state were announced by CMS.