TX Texas
Plan Rural Texas Strong: Supporting Health and Wellness
1 distribution gate. 11 sub-initiatives. $281.3M in motion.
The Texas 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
$281,319,361 CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-06-13
$1.41B planned over 5 years
- 202 rural counties
- 4.30M rural pop. · 2.94M Census ACS
- 155 rural hospitals
- 48 at risk
- 1 distribution gates
- 11 sub-initiatives
Texas'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 Texas 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 2026-06-13
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Program period (FY26 to FY30) CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States View source Accessed 2026-06-13
The plan
6 initiatives. 11 sub-initiatives.
Make Rural Texans Healthy Again
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Part 1 - Rural Hospital District Direct Awards Texas's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and consumer-facing health technology. Full scope, lead implementer, and timing in the Atlas. Applications open | LEAD | 12 | under review Y1 $250.0M |
| Part 2 - Competitive Awards for Public and Private Rural Hospitals Texas's Rural Health Transformation funding area supporting evidence-based prevention and chronic disease management and consumer-facing health technology. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 12 | under review |
Rural Texas Patients in the Driver's Seat
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Clinically Integrated Network / ACO Patient-Engagement Contracts Texas's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 34 | under review |
Lone Star Advanced AI and Telehealth
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| AI and Telehealth Network Contracts Texas's Rural Health Transformation funding area supporting remote monitoring, telehealth, and rural data infrastructure and rural workforce recruitment, training, and retention. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 34 | under review |
The Next Generation of the Small Town Doctor and Team
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| County-Level Provider Recruitment and Retention Awards Texas's Rural Health Transformation funding area supporting value-based care and provider payment models and behavioral health and substance use treatment access. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 56 | under review |
| DSHS Community Health Workers Program Texas's Rural Health Transformation funding area supporting value-based care and provider payment models. Full scope, lead implementer, and timing in the Atlas. Awarded | LEAD | 5 | under review Y1 $304,083 |
| Texas Board of Nursing IT Modernization Texas's Rural Health Transformation funding area supporting value-based care and provider payment models. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 5 | under review |
Unified Care Infrastructure and Rural Cyber Protection
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Interoperability and Cybersecurity Modernization Texas's Rural Health Transformation funding area supporting rural workforce recruitment, training, and retention and rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 47 | under review |
| General Land Office Veterans Nursing Homes Texas's Rural Health Transformation funding area supporting rural hospital and facility financial sustainability. Full scope, lead implementer, and timing in the Atlas. RFA in design | LEAD | 7 | under review |
Infrastructure and Capital Investments for Rural Texas
| Sub-initiative | Gate | Categories | 5Y |
|---|---|---|---|
| Part 1 - Open Provider Capital Grants Texas's Rural Health Transformation funding area supporting care access via new sites, mobile units, and service lines and IT, cybersecurity, and EHR modernization for rural providers. Full scope, lead implementer, and timing in the Atlas. Applications open | LEAD | 89 | under review Y1 $4.44M |
| DSHS Advanced Medical Bus (AMBUS) Program Texas's Rural Health Transformation funding area supporting care access via new sites, mobile units, and service lines. Full scope, lead implementer, and timing in the Atlas. Awarded | LEAD | 8 | under review Y1 $20.00M |
Primary documents
1 state-published documents tracked.
People to know
Who decides where the money goes.
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Program administration Texas Health and Human Services Commission, Provider Finance Department
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Executive Commissioner Texas Health and Human Services Commission (HHSC)
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Chief Financial Officer Texas Health and Human Services Commission (HHSC)
Procurement portals
Where to bid.
Frequently asked
Texas RHTP, answered.
How much did Texas receive from the federal Rural Health Transformation Program?
Texas received $281,319,361 for FY26 under the $50 billion Rural Health Transformation Program (P.L. 119-21 sec 71401), administered by Texas Health and Human Services Commission, Provider Finance Department. The program runs FY26 through FY30.
Who administers Texas's RHTP funding?
Texas Health and Human Services Commission, Provider Finance Department is the lead agency. Texas's plan organizes the funding across 6 initiatives. The named administering agency for each sub-initiative, the lead implementers, and the routing path are detailed in the Atlas.
How can a vendor or provider pursue Texas RHTP funding?
Register as a state vendor, hold an active UEI and SAM.gov registration, and apply to the relevant funding opportunity as it posts. The live opportunity calendar, exact deadlines, and per-initiative routing are in the Atlas.