The CMS Rural Health Transformation Program (officially RHT) is a $50 billion federal initiative providing funding to all 50 states over five years (FY 2026–2030, $10 billion annually) to improve rural healthcare access, workforce, telehealth, chronic disease management, behavioral health, emergency services coordination, infrastructure modernization, cybersecurity, interoperability, and innovative care models. All states received first-year awards in late December 2025 (averaging ~$200 million, ranging $147 million to $281 million); implementation, sub-awards, and procurements are active in 2026.