HI Hawaii Rural Health Transformation Program
Plan The Hawaii Rural Health Transformation Plan
1 distribution gate. 22 sub-initiatives. $188.9M in motion.
The Hawaii 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.
FY26 award
$188,892,440 CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-09-24
- 4 rural counties
- 0.59M rural pop. · 0.28M Census ACS
- 9 rural hospitals
- 1 distribution gates
- 22 sub-initiatives
Hawaii'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 Hawaii publishes its approved budget.
Key dates
When the money moves.
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FY26 award announced CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-09-24
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Period of performance ends CMS Notice of Award, Rural Health Transformation Program standard terms (Utah RHTCMS332051-01-00, page 6) View source Accessed 2026-09-23
What's new
What Hawaii has announced lately.
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CMS: $58 million tranche for workforce training, new ambulances, and emergency communications (one part of the FY2026 award). www.cms.gov
The Trump Administration announced today that a $58 million investment is being delivered to improve health outcomes for Hawaiians through the federal Rural Health Transformation Program (RHTP)
Quote on file, page pending View source Accessed 2026-09-23 -
Governor: $45M to UH John A. Burns School of Medicine (HOME RUN workforce) and $13M to Department of Health (ambulances for each county, emergency communications). governor.hawaii.gov
$45 million for the University of Hawaiʻi John A. Burns School of Medicine to administer workforce development programs through the Hawaiʻi Outreach for Medical Education in Rural Under-resourced Neighborhoods, or HOME RUN, initiative. $13 million for the Hawaiʻi Department of Health to acquire new ambulances for each county and upgrade emergency communications systems through the Rural Infrastructure for Care Access initiative.
Quote on file, page pending View source Accessed 2026-09-23 -
New official program website rhtp.hawaii.gov with a Funding Opportunities page: non-state-entity opportunities post to HANDS; HOME RUN education award application is live via JABSOM REDCap. rhtp.hawaii.gov
Funding opportunities for non-state entities will follow state procurement laws and be posted through the Hawaiʻi Awards & Notices Data System.
Quote on file, page pending View source Accessed 2026-09-23
The plan
6 initiatives. 22 sub-initiatives.
Rural Health Information Network (RHIN)
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Electronic Health Records Upgrades Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Last Mile Network Infrastructure Solutions Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Care Quality Information Exchange Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Statewide Analytics & Technical Assistance Hub Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Closed Loop Referral System and Care Coordination Hub Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Dual Eligible Data Dashboard Hub Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Pili Ola Telehealth Network
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Community Telehealth Access Points Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Telehealth Navigators and Training Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Remote Patient Monitoring and Consumer Tools Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Telehealth Analytics Coordinating Center (TACC) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Rural Infrastructure for Care Access (RICA)
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Medical Communications Center (MEDICOM) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Community Paramedicine and Mobile Healthcare Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Behavioral Health Infrastructure (CCBHCs) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
HOME RUN - Hawaii Outreach for Medical Education in Rural Under-resourced Neighborhoods
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| High-School and Rural Certificate Programs Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Rural Training Sites and Residencies Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Scholarships and Service-Commitment Incentives Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Rural Respite Network (RRN)
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Hawaii County Medical Respite Site (40-bed) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Kauai County Medical Respite Site (30-bed) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Maui County Medical Respite Site (50-bed) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Waianae Medical Respite Site (40-bed) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review | |
| Hawaii County Expansion Medical Respite Site (50-bed) Hawaii's Rural Health Transformation funding area. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | under review |
Rural Value-Based Innovation (RVBI) & AHEAD Readiness Fund
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| AHEAD Readiness Fund (Competitive) Hawaii'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.
People to know
Who decides where the money goes.
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Program administration Office of the Governor (RHTP Oversight Team), administratively housed in the Department of Budget and Finance
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Governor of Hawaii (leads federal engagement; Governor's Office drafted the RHTP plan) Office of the Governor
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Administrator, State Health Planning and Development Agency; Senior Advisor to the Governor on Healthcare Innovation; administers the RVBI & AHEAD Readiness Fund State Health Planning and Development Agency (SHPDA), Department of Health
Procurement portals