The Centers for Medicare & Medicaid Services (CMS) is accelerating a once‑in‑a‑generation modernization of rural health care through a series of targeted federal investments now reaching communities across the country. From major technology upgrades and workforce expansion to improved care coordination, transportation access, and digital interoperability, these awards reflect a unified national strategy: strengthen rural health systems, close long‑standing access gaps, and ensure every American, regardless of ZIP Code, can rely on high‑quality, modern care. The following recent state investments illustrate how this commitment is taking shape on the ground, tailored to the unique needs of rural communities in Arkansas, Colorado, Connecticut, Delaware, Missouri, Montana, New Mexico, South Carolina, and Texas.
Arkansas: $54.6 Million to Fight Chronic Disease, Expand Maternal Healthcare Services, and Build Arkansas’ Rural Health Workforce
This federal investment will support 54 projects including mobile preventive screenings, physical activity programs, rural residency and clinical training programs, and new healthcare workforce pipelines across Arkansas.
A $54.6 million investment is being delivered to recruit, train, and retain Arkansas’ rural healthcare workforce, expand maternal healthcare services, and help fight chronic disease in the state through the federal Rural Health Transformation Program (RHTP). Read the full press release.
Colorado: $169 Million to Expand Specialty Care, Strengthen Emergency Services, and Bring Lifesaving Blood Transfusions Closer to Colorado Patients
This federal investment will support 91 grantees expanding telemedicine, mobile care, behavioral and maternal healthcare, and rural healthcare workforce initiatives across Colorado.
A $169.6 million investment is being delivered to strengthen and expand healthcare for rural Coloradans through the federal Rural Health Transformation Program (RHTP). This investment will support 91 grantees and approximately 250 projects working to improve access to care, strengthen rural providers and emergency services, and modernize healthcare delivery across Colorado. Read the full press release.
Connecticut: $50 Million to Optimize Care Delivery and Improve Rural Hospital Infrastructure
This federal investment will help rural hospitals upgrade equipment, renovate facilities, enhance care delivery, and support long-term sustainability across rural Connecticut.
A $50 million investment is being delivered to improve rural health and expand access to high-quality care for Connecticut residents through the federal Rural Health Transformation Program (RHTP). This funding will help four rural hospital systems modernize facilities, expand service capacity, and stabilize essential healthcare infrastructure to better serve rural Connecticut communities. Read the full press release.
Delaware: Nearly $23 Million to Modernize Rural Health Centers, Expand Mobile Care, and Make It Easier to Manage Chronic Disease
This federal investment will support new mobile health units, remote patient monitoring, cybersecurity upgrades, and expanded care teams serving rural Delaware and bringing better access and the latest technology to residents.
Nearly $23 million in federal Rural Health Transformation Program (RHTP) funding is being delivered to strengthen healthcare delivery and expand access for rural Delawareans. The funding will support Delaware’s three Federally Qualified Health Centers (FQHCs) as they modernize technology, strengthen chronic disease management, and expand services for the communities they serve. The awards will support electronic medical record upgrades, remote patient monitoring, cybersecurity, expanded care teams, and care coordination, along with two new mobile health units and a passenger van to expand access to care for rural and agricultural communities. Read the full press release.
Missouri: $45 Million to Upgrade Rural Missouri Hospitals, Connect Families to Rapid Psychiatric Consultations and Maternal Care, and Train More EMS Professionals
This federal investment will upgrade rural hospitals, connect providers with behavioral and maternal health specialists, and grow the emergency care workforce in rural Missouri.
More than $45 million in Rural Health Transformation Program (RHTP) funding is being delivered to support rural healthcare for Missouri residents. This investment will support hospital infrastructure improvements, expand behavioral and maternal healthcare access, and strengthen the rural emergency medical services workforce. Read the full press release.
Montana: $8.7 Million for New Ambulances and Lifesaving Medical Equipment Upgrades Across Rural Montana
This federal investment will replace aging ambulances and equip rural EMS agencies in Montana with ventilators, cardiac monitors, and other critical patient transport equipment.
An $8.7 million investment is being delivered to support rural healthcare for Montana residents through the federal Rural Health Transformation Program (RHTP). This investment will provide 79 rural emergency medical service (EMS) agencies with new ambulances and lifesaving medical equipment, giving first responders the resources they need to respond to crises, transport critically ill patients, and deliver high-quality care. Read the full press release.
New Mexico: $74 Million to Expand Specialty, Maternal, and Behavioral Healthcare
This federal investment will establish regional hubs to bring more high-quality care closer to rural, frontier and Tribal communities.
A $74 million investment is being delivered to improve access to healthcare for New Mexicans through the federal Rural Health Transformation Program (RHTP). This investment will support six Regional Hub Organizations lead Healthy Horizons, one part of New Mexico’s five-year RHTP strategy that supports better access to specialty, maternal, behavioral health, chronic disease, and other health care services in rural, frontier, and tribal communities. The Regional Hub Organizations will begin this work by coordinating with local providers and community partners to identify needs, set priorities, and develop plans that bring specialty, maternal, behavioral health, and other health care services closer to home for rural New Mexicans. Read the full press release.
South Carolina: $167 Million to Build Rural Care Sites, Upgrade Health Technology, and Strengthen Prevention
This federal investment will support telehealth, remote monitoring, mobile care, cybersecurity upgrades, and new technology to improve maternal and behavioral healthcare.
A $167 million investment is being delivered to expand local access, modernize technology and infrastructure, improve prevention, and strengthen workforce capacity for South Carolinians through the federal Rural Health Transformation Program (RHTP). This investment will give residents more ways to access primary care, maternal and infant health, pediatrics, wellness, and behavioral health through new and modernized care locations, mobile units, telehealth, and other healthcare technologies such as local 24-hour pharmacy kiosks. Read the full press release.
Texas: $51 Million for Rural Texas Nutrition and Chronic Disease Prevention Programs
This federal investment will support 68 rural hospital districts and authorities working to prevent and manage diabetes, cardiovascular disease, respiratory disease, and obesity.
A $51 million investment is being delivered to create or improve community-based chronic disease prevention, wellness, and nutrition programs through the federal Rural Health Transformation Program (RHTP). This investment will help rural healthcare providers implement solutions to improve outcomes for rural Texans with diabetes, cardiovascular disease, chronic respiratory disease, or obesity, while also supporting efforts to prevent these chronic conditions. Read the full press release.