Understanding the Rural Health Transformation (RHT) Program Funding — Where It Comes From

The new Rural Health Transformation (RHT) Program is one of the largest coordinated federal investments ever aimed at rural healthcare access, innovation, and sustainability. But where does the funding actually come from?

The RHT Program was authorized by the One Big Beautiful Bill Act, specifically in Section 71401 of Public Law 119-21. It directs the Centers for Medicare & Medicaid Services (CMS) to administer the program and distribute funding in the form of a cooperative agreement to eligible states.

Here’s how the funding breaks down:

✔ $50 billion total over five fiscal years
✔ $10 billion available each year from FY26 — FY30
✔ 100% of funds go to states (not territories or D.C.)

The allocation formula works like this:

• 50% of funds are divided equally across approved states, and

• 50% are distributed based on factors such as rural population, rural facility counts, and hospital conditions within the state.
  

Funds can only be used for three or more approved uses, which include rural workforce development, mobile access points, innovative care models, chronic disease management, behavioral health, and technology adoption — areas that align directly with mobile medical clinics and mobile workforce solutions.

In short, Congress has created a long-term opportunity for states to rethink how rural healthcare is delivered. That includes rethinking physical access points. With Brewco Marketing Group’s experience in designing and fabricating mobile medical environments, states have a ready-made partner for turning federal dollars into real-world access solutions.