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AL Alabama Rural Health Transformation Program

Plan Alabama Rural Health Transformation Program

1 distribution gate. 11 sub-initiatives. $203.4M in motion.

The Alabama Atlas names every gate that controls the money, every program officer, every dollar tracked. Source-cited PDF, refreshed quarterly. It shows you what it takes to be fundable here.

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$203.4M11 sub-initiatives · split in the Atlas
ADECA
Dollar split, officers, and deadlines: in the Atlas. →

FY26 award

$203,404,327

Lead agency ADECA
Co-leads ADPH, Medicaid, SHPDA, Finance
Per rural resident $126
  • 58 rural counties
  • 1.61M rural pop. · 1.12M Census ACS
  • 52 rural hospitals
  • 1 distribution gates
  • 11 sub-initiatives
Last verified 2026-09-23 sources published 2026-05-29 19 primary sources cited 0x3061ce42…ce6a97 provenance receipt
Preliminary

Alabama's award and rural demographics are verified against primary sources. The initiative budget is still under CMS review, so allocations are not yet final and are not shown. This page upgrades to the full money-flow breakdown the moment Alabama publishes its approved budget.

Key dates

When the money moves.

Program milestones and live funding-opportunity deadlines. Cited; refreshed as the calendar moves.

  1. milestone

    FY26 award announced

  2. upcoming

    Period of performance ends

  3. upcoming

    Budget Year 2 begins.

What's new

What Alabama has announced lately.

Each line is one announcement, re-read at its source on 2026-09-23. Announcements often describe the same money, so they are never added together.

  1. Awards

    First ARHTP grant round: 138 grants worth more than $144 million across five initiatives (Rural Health, Rural Workforce, Mental Health, Rural Health Practice, EHR/IT/Cybersecurity); awards for the other initiatives are in process. Recipient list with amounts and counties is in the release.

    Governor Kay Ivey on Monday announced the awarding of 138 grants worth a total of more than $144 million to healthcare providers and institutions throughout the state as part of the Alabama Rural Health Transformation Program (ARHTP).
    Quote on file, page pending View source Accessed 2026-09-23

  2. Awards

    CMS release on the same round: $144 million, 138 grants.

    The Trump Administration announced today that a $144 million investment is being delivered to improve health outcomes for Alabamians through the federal Rural Health Transformation Program (RHTP)
    Quote on file, page pending View source Accessed 2026-09-23

  3. Update

    no Round 2 award release found on the governor or ADECA newsrooms through September 17, 2026.

    Grant awards for additional initiatives are in process and will be announced at a later date.
    Quote on file, page pending View source Accessed 2026-09-23

  4. Report

    ADECA posted a Round 2 FAQ: funding is awarded annually and applicants must reapply each funding year.

    Funding is awarded annually and applicants must reapply each funding year.
    Quote on file, page pending View source Accessed 2026-09-23

  5. Undated Report

    ADECA posted a proposed final ARHTP Program Manual for grantees; the final report for all RHTP projects is due by February 27, 2031.

    The Final Report for all RHTP projects is due by February 27, 2031
    Quote on file, page pending View source Accessed 2026-09-23

The plan

11 initiatives. 11 sub-initiatives.

Collaborative EHR, IT, and Cybersecurity

Sub-initiative Gate Categories 5Y
Regional IT and Cybersecurity Hubs Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Rural Health

Sub-initiative Gate Categories 5Y
Statewide Telehealth/Teleconsult Network Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Maternal and Fetal Health

Sub-initiative Gate Categories 5Y
Digital Obstetric Regionalization and Telerobotic Ultrasound Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Rural Workforce

Sub-initiative Gate Categories 5Y
Physician, Nurse, EMS, Midwife and Dental Training Programs Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Cancer Digital Regionalization

Sub-initiative Gate Categories 5Y
Mobile and Regional Cancer Screening Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Simulation Training

Sub-initiative Gate Categories 5Y
Specialty-Based Simulation Education Expansion Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Statewide EMS Trauma and Stroke

Sub-initiative Gate Categories 5Y
Statewide EMS Diversion and Routing System Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

EMS Treat-in-Place

Sub-initiative Gate Categories 5Y
EMS Treat-in-Place Pilot Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Mental Health

Sub-initiative Gate Categories 5Y
CMHC-to-CCBHC Conversion and Expansion Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Community Medicine

Sub-initiative Gate Categories 5Y
Mobile Wellness and Nutrition Units Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Rural Health Practice

Sub-initiative Gate Categories 5Y
Networked Integrated Clinics Alabama's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design LEAD under review

Primary documents

1 state-published documents tracked.

The freshness engine watches every primary document Alabama has published and fires a capture event when a new one drops or an existing one changes. Newest indexed shown below; the full directory with direct links and change history unlocks with the Atlas.

Newest indexed project narrative 2025-12-11

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More indexed documents with direct links and change history

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People to know

Who decides where the money goes.

Officials current as of Q2 2026. Top 3 shown at no charge; full directory unlocked with Pro.

  • Rural Health Transformation Program Office

    As of Q2 2026

    Program administration Alabama Department of Economic and Community Affairs

  • Kay Ivey

    As of Q2 2026

    Governor of Alabama Office of the Governor

  • Kenneth Boswell

    As of Q2 2026

    Director, Alabama Department of Economic and Community Affairs (and State of Alabama Authorized Organizational Representative for ARHTP) Alabama Department of Economic and Community Affairs

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    More named officials with routing notes

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Procurement portals

Where to bid.