KFF Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
The five-year, $50 billion Rural Health Transformation Program was created as part of the One Big Beautiful Bill Act to expand access to healthcare. States competed to win funding with first-year allocations ranging from $147 million for New Jersey to $281 million for Texas. Find links to available public documents for each state below.
KFF Health News will update this database as more states respond to emails and public records requests for their documents.
Note: Data collected as of Aug. 18, 2026. KFF Health News reporters searched state websites, requested documents, and filed public records requests. KFF Health News continues to collect documents.
Sources: Documents publicly posted online or released in response to KFF Health News requests; <a href="https://www.cms.gov/newsroom/press-releases/cms-announces-50-billion-awards-strengthen-rural-health-all-50-states" target=_"blank">Centers for Medicare & Medicaid Services</a>