Budget Period 2 of the Rural Health Transformation Program began on October 31, 2026, and CMS announced each state’s Year 2 award on November 9. Here is where every state stands going in: its federal awards, how much of its Year 1 money it has passed on to local organizations, how far its CMS-listed initiatives have moved, its policy commitments, and whether rural providers can apply for its RHTP funding right now.
Rural Care Journey · Status as of November 11, 2026 · Updated the same day to add Year 1 money passed on
12
States meeting all three readiness signals
70%
Of 322 CMS-listed initiatives at Stage 2 or later
69
RHTP solicitations open or upcoming, in 25 states
25 / 25
States whose Year 2 award is up / down
Each is a yes or no read from published data. States are grouped by how many they meet, not ranked.
How to Prepare for RHTP Year 2 Funding with Rural Care Journey
New or returning, start here: a step-by-step manual for RHTP Year 2 (Budget Period 2) with links straight to your state's readiness signals, state page, open rounds, alerts and application tools.
Grouped by signals met
Georgia, Hawaii, Indiana, Iowa, Kansas, Maine, Maryland, Nebraska, New Hampshire, North Carolina, Oklahoma, Virginia
Alaska, California, Connecticut, Illinois, Kentucky, Massachusetts, Missouri, Montana, Nevada, North Dakota, Oregon, Rhode Island, Tennessee, Texas, West Virginia, Wisconsin
Arizona, Delaware, Idaho, Louisiana, Michigan, Minnesota, Mississippi, New Jersey, New York, Pennsylvania, Vermont, Washington, Wyoming
Alabama, Arkansas, Colorado, Florida, New Mexico, Ohio, South Carolina, South Dakota, Utah
Initiatives still at Stage 1 or earlier: Alabama, Arkansas, Colorado, Delaware, Florida, Louisiana, Mississippi, Missouri, Nevada, New Mexico, Ohio, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, Wyoming. Each state page shows its initiatives one by one.
Year 1 money passed on
Awards to hospitals, clinics, EMS agencies, schools and other organizations that each state has published, as a share of its Year 1 federal award. 42 states publish recipients with amounts. RCJ checked every state’s published lists on November 11, 2026 before computing this, so a low share means little has been published, not that RCJ missed a list it could reach.
Alabama (98%), Alaska (91%), Arkansas (99%), Colorado (89%), Florida (94%), Louisiana (86%), Michigan (77%), Nevada (98%), New Hampshire (100%+ (multi-year)), North Carolina (96%), Oregon (85%), South Carolina (83%), Tennessee (100%+ (multi-year)), Texas (100%+ (multi-year)), Utah (99%), Washington (100%+), Wyoming (99%)
California (59%), Delaware (30%), Hawaii (73%), Idaho (44%), Indiana (35%), Kansas (45%), Maine (39%), Maryland (63%), Mississippi (66%), Missouri (36%), New Mexico (35%), Oklahoma (37%), South Dakota (58%), West Virginia (45%)
Georgia (16%), Minnesota (8%), Montana (2%), Nebraska (19%), New Jersey (22%), New York (9%), Pennsylvania (22%), Rhode Island (15%), Vermont (7%), Virginia (4%), Wisconsin (11%)
Arizona (No recipient amounts published), Connecticut (No recipient amounts published), Illinois (No recipient amounts published), Iowa (Dashboard only), Kentucky (No recipient amounts published), Massachusetts (No recipient amounts published), North Dakota (No recipient amounts published), Ohio (No recipient amounts published)
“Multi-year”: New Hampshire, Texas and Tennessee publish contract or five-year totals, so their figures cover more than Year 1. States that announce awards without amounts, or only a federal or CMS total, have no figure; some announced awards RCJ couldn’t confirm with the state are tracked separately until it does.
Federal awards are CMS’s. “Year 1 passed on” is published awards to local organizations as a share of the Year 1 award; each links to the state’s awardee list.
| State | Federal awards to date | Year 2 vs Year 1 | Initiatives at Stage 2+ | Policy commitments | Open / upcoming | Signals | Year 1 passed on |
|---|---|---|---|---|---|---|---|
| Alabama | $402.7M | -2.0% | 0 of 11 | 1 of 19 | 0 / 0 | – – – | 98% |
| Alaska | $544.8M | +0.2% | 6 of 6 | 10 of 19 | 0 / 0 | ✓ – ✓ | 91% |
| Arizona | $332.0M | -1.2% | 4 of 4 | 2 of 19 | 0 / 0 | ✓ – – | No recipient amounts published |
| Arkansas | $416.6M | -0.5% | 0 of 4 | 4 of 19 | 0 / 0 | – – – | 99% |
| California | $464.7M | -1.1% | 3 of 3 | 0 of 19 | 2 / 0 | ✓ ✓ – | 59% |
| Colorado | $397.3M | -1.5% | 5 of 10 | 0 of 19 | 0 / 0 | – – – | 89% |
| Connecticut | $307.9M | -0.4% | 4 of 4 | 2 of 19 | 1 / 0 | ✓ ✓ – | No recipient amounts published |
| Delaware | $317.7M | +1.8% | 10 of 15 | 6 of 19 | 0 / 0 | – – ✓ | 30% |
| Florida | $413.8M | -2.9% | 1 of 15 | 0 of 19 | 0 / 0 | – – – | 94% |
| Georgia | $440.6M | +1.3% | 5 of 5 | 2 of 19 | 1 / 5 | ✓ ✓ ✓ | 16% |
| Hawaii | $378.5M | +0.4% | 6 of 6 | 1 of 19 | 2 / 0 | ✓ ✓ ✓ | 73% |
| Idaho | $368.7M | -1.8% | 5 of 5 | 0 of 19 | 0 / 0 | ✓ – – | 44% |
| Illinois | $383.9M | -1.5% | 8 of 8 | 0 of 19 | 1 / 8 | ✓ ✓ – | No recipient amounts published |
| Indiana | $415.8M | +1.0% | 12 of 12 | 1 of 19 | 3 / 0 | ✓ ✓ ✓ | 35% |
| Iowa | $425.0M | +3.3% | 5 of 5 | 4 of 19 | 1 / 0 | ✓ ✓ ✓ | Dashboard only |
| Kansas | $447.8M | +1.8% | 5 of 5 | 4 of 19 | 4 / 0 | ✓ ✓ ✓ | 45% |
| Kentucky | $424.2M | -0.7% | 5 of 5 | 0 of 19 | 1 / 0 | ✓ ✓ – | No recipient amounts published |
| Louisiana | $420.2M | +1.7% | 5 of 6 | 2 of 19 | 0 / 0 | – – ✓ | 86% |
| Maine | $380.4M | +0.2% | 5 of 5 | 0 of 19 | 1 / 1 | ✓ ✓ ✓ | 39% |
| Maryland | $336.6M | +0.1% | 3 of 3 | 0 of 19 | 1 / 0 | ✓ ✓ ✓ | 63% |
| Massachusetts | $320.4M | -2.2% | 7 of 7 | 1 of 19 | 1 / 0 | ✓ ✓ – | No recipient amounts published |
| Michigan | $343.7M | -1.5% | 4 of 4 | 1 of 19 | 0 / 0 | ✓ – – | 77% |
| Minnesota | $383.9M | -1.2% | 5 of 5 | 0 of 19 | 0 / 0 | ✓ – – | 8% |
| Mississippi | $410.6M | -0.6% | 5 of 6 | 2 of 19 | 2 / 1 | – ✓ – | 66% |
| Missouri | $434.8M | +1.0% | 1 of 5 | 5 of 19 | 4 / 4 | – ✓ ✓ | 36% |
| Montana | $473.3M | +2.7% | 5 of 5 | 6 of 19 | 0 / 0 | ✓ – ✓ | 2% |
| Nebraska | $437.8M | +0.3% | 7 of 7 | 2 of 19 | 1 / 0 | ✓ ✓ ✓ | 19% |
| Nevada | $362.3M | +1.4% | 2 of 4 | 4 of 19 | 3 / 0 | – ✓ ✓ | 98% |
| New Hampshire | $408.3M | +0.1% | 5 of 5 | 6 of 19 | 7 / 0 | ✓ ✓ ✓ | 100%+ (multi-year) |
| New Jersey | $289.6M | -3.3% | 5 of 5 | 0 of 19 | 0 / 0 | ✓ – – | 22% |
| New Mexico | $422.5M | -0.2% | 0 of 5 | 6 of 19 | 0 / 0 | – – – | 35% |
| New York | $419.8M | -2.0% | 4 of 4 | 0 of 19 | 0 / 0 | ✓ – – | 9% |
| North Carolina | $429.8M | +1.8% | 6 of 6 | 3 of 19 | 1 / 0 | ✓ ✓ ✓ | 96% |
| North Dakota | $405.3M | +3.7% | 4 of 4 | 5 of 19 | 0 / 0 | ✓ – ✓ | No recipient amounts published |
| Ohio | $404.0M | -0.1% | 2 of 9 | 3 of 19 | 0 / 0 | – – – | No recipient amounts published |
| Oklahoma | $450.6M | +1.6% | 6 of 6 | 2 of 19 | 2 / 1 | ✓ ✓ ✓ | 37% |
| Oregon | $394.5M | -0.0% | 5 of 5 | 0 of 19 | 0 / 1 | ✓ ✓ – | 85% |
| Pennsylvania | $384.0M | -1.3% | 6 of 6 | 1 of 19 | 0 / 0 | ✓ – – | 22% |
| Rhode Island | $314.3M | +1.3% | 10 of 13 | 5 of 19 | 1 / 0 | – ✓ ✓ | 15% |
| South Carolina | $396.0M | -2.0% | 3 of 5 | 2 of 19 | 0 / 0 | – – – | 83% |
| South Dakota | $377.1M | -1.0% | 8 of 10 | 2 of 19 | 0 / 0 | – – – | 58% |
| Tennessee | $417.2M | +1.7% | 5 of 17 | 8 of 19 | 1 / 0 | – ✓ ✓ | 100%+ (multi-year) |
| Texas | $563.3M | +0.2% | 3 of 6 | 2 of 19 | 0 / 1 | – ✓ ✓ | 100%+ (multi-year) |
| Utah | $387.7M | -2.0% | 4 of 7 | 1 of 19 | 0 / 0 | – – – | 99% |
| Vermont | $385.0M | -2.6% | 5 of 5 | 1 of 19 | 0 / 0 | ✓ – – | 7% |
| Virginia | $385.3M | +3.3% | 4 of 4 | 2 of 19 | 5 / 0 | ✓ ✓ ✓ | 4% |
| Washington | $358.3M | -2.3% | 6 of 6 | 0 of 19 | 0 / 0 | ✓ – – | 100%+ |
| West Virginia | $401.6M | +1.3% | 0 of 7 | 3 of 19 | 1 / 0 | – ✓ ✓ | 45% |
| Wisconsin | $407.4M | +0.0% | 3 of 3 | 1 of 19 | 0 / 0 | ✓ – ✓ | 11% |
| Wyoming | $412.2M | +1.1% | 0 of 4 | 6 of 19 | 0 / 0 | – – ✓ | 99% |
Signals column: implementation, pipeline, funding.
Federal awards: CMS RHTP State Data Maps, Budget Period 1 and Budget Period 2 total funding to the cent (each sums to $10,000,000,000.00).
Initiatives and policy commitments: the same CMS page, RCJ capture of November 11, 2026. An initiative’s stage is the last stage CMS marks In Progress, or the one after the last stage marked Complete.
Year 1 money passed on: awards to local organizations that each state has published, as tracked on its RCJ state page (duplicates removed), divided by its Budget Period 1 federal award. No award is dated in Budget Period 2 yet, so every tracked award is Year 1 money. Amounts are as the state publishes them (one row per organization; a group total where names or amounts aren’t published). Planning figures, budget-narrative allocations, funding ceilings and news reports are not counted; state agencies and fiscal agents count when the state’s own award list names them with an amount. Before computing it, RCJ checked every state’s RHTP pages for recipient lists on November 11, 2026. Some state sites (Arizona’s AHCCCS, New Mexico’s HCA) block visitors from outside the US; RCJ checked them from a US server.
Solicitations: RCJ’s reviewed RHTP-funded state solicitations (RFA, RFP, NOFO, grant) as of November 11, 2026. Open means posted with a due date on or after that day, or rolling; upcoming means announced but not yet posted. Some states fund through direct or noncompetitive awards, which no solicitation captures. Current listings are on RCJ’s opportunities page.