The federal government set aside $50 billion to help rural hospitals, clinics, and health workers over the next five years. This is the first real look at who's actually receiving it — and what it's paying for.
Rural Care Journey · Prepared September 5, 2026 · Year 1 of the Rural Health Transformation Program
$3.6B
Awarded so far
1,000+
Organizations funded
42
States with awards announced
1,538
Individual grants & contracts
Ranked by total dollars announced to date. A state lower on this list hasn't necessarily done less — some simply haven't made their award details public yet.
| State | Amount announced |
|---|---|
| New Hampshire | $435.0M |
| Oklahoma | $359.8M |
| Texas | $315.4M |
| Oregon | $311.2M |
| Alaska | $241.8M |
| Arkansas | $168.2M |
| Indiana | $166.4M |
| Alabama | $143.7M |
| Connecticut | $138.0M |
| Nevada | $134.4M |
| Wisconsin | $116.9M |
| Kansas | $113.6M |
| Georgia | $113.2M |
| Louisiana | $95.5M |
| Delaware | $91.5M |
| Maryland | $84.9M |
| Arizona | $84.0M |
| Hawaiʻi | $62.0M |
| California | $60.0M |
| Maine | $58.1M |
| Michigan | $54.4M |
| Montana | $50.3M |
| Pennsylvania | $42.2M |
| South Dakota | $37.1M |
| New Jersey | $32.0M |
| Washington | $30.2M |
| Nebraska | $15.4M |
| Ohio | $10.0M |
| Colorado | $6.6M |
| Utah | $6.0M |
| Minnesota | $3.9M |
| West Virginia | $3.3M |
| North Dakota | $600K |
| Missouri | $600K |
| Vermont | $300K |
| Mississippi | $200K |
| North Carolina | $200K |
| Virginia | $100K |
| Massachusetts | $40K |
| New Mexico | $20K |
| Iowa | $10K |
| Idaho | $1K |
Most states are funding a mix of these at once — a single grant often does two or three of these things together.
Signing bonuses, loan repayment, training pipelines for nurses and doctors, and community health worker programs — the single most common use of the money nationally.
Getting rural clinics and hospitals onto electronic health records that can actually talk to each other, plus the cybersecurity to keep them safe.
Crisis centers, addiction treatment, and folding mental health support directly into everyday primary care visits instead of treating it separately.
Ride programs, care navigators, and mobile clinics for people who'd otherwise have to drive hours to see a doctor.
New ambulances, mobile medical units, and paramedics doing more than just emergency transport — following up with patients after they leave the hospital.
Renovating aging rural hospitals and clinics, replacing outdated equipment, and expanding broadband so rural facilities can use modern tools at all.
Helping rural hospitals find a way to stay financially viable after the federal money runs out — group purchasing, new payment models, shared services.
Every large program needs staff to manage it — grants administration, progress tracking, and technical support for the organizations receiving money.
Real organizations, real amounts, from official award announcements. Here's what each state is actually funding.
New Hampshire is routing most of its money through two trusted intermediaries rather than picking hundreds of recipients itself — a bet that experienced statewide organizations can distribute funding faster and more effectively than the state managing it directly.
Oklahoma isn't handing out one-off grants — it's building shared statewide systems that every rural provider in the state can plug into, from medical records to senior care.
Texas is running two plays at once: a huge pool split evenly across dozens of small hospital districts, and a separate, very specific investment in emergency vehicles for rural areas.
Oregon spread its money the widest of any state — small, direct checks to nearly every rural hospital, clinic, and public health department it has, rather than concentrating funding in a few large awards.
Alaska's geography leaves it no choice but to fund very different kinds of projects in very different places — tribal health systems, frontier hospitals, and statewide technology, all at once.
A smaller total, but a clear priority: Hawaiʻi is putting most of its early money into training the next generation of rural clinicians before it spends heavily on anything else.
This overview covers the headline picture. Rural Care Journey members get the full analysis behind it — plus a way to check any hospital or clinic's actual award history in seconds.
A 13-page PDF with the complete state-by-state breakdown and the analysis behind it — including where recorded award totals run ahead of what a state was actually allocated.
Every hospital and clinic named in this report is searchable here — 15,500+ HRSA Critical Access Hospitals, FQHCs, and named RHTP award recipients, cross-referenced against everything they've actually received, with sources.
Year one was about states deciding how to spend this money — through a few big organizations, hundreds of small grants, or shared statewide systems. Year two is where those bets start paying off, or not: whether the clinicians states are training stay in rural communities, whether the new medical record systems actually get used, and whether the hospitals getting renovated can stay open once the federal money stops.
Rural Care Journey tracks every state's awards as they're announced — check back for updates as more states report their Year 1 activity.