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Overview 

The One Big Beautiful Bill Act (Section 71401) creates a new Rural Health Transformation (RHT) grants program administered by the Centers for Medicare and Medicaid Services (CMS), allocating $50 billion nationwide from federal fiscal years 2026 through 2030 — $10 billion annually. Funds will flow through states, which must submit a Rural Health Transformation Plan to CMS by Dec. 31, 2025, to access and manage these resources.

To learn more about the RHT program, visit the CMS website here.  

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Iowa's Application

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Healthy Hometowns: Iowa’s Proposal

Healthy Hometowns is the state’s submission to the Rural Health Transformation Program, a federal funding initiative managed by the Centers for Medicare and Medicaid Services (CMS). The bold and comprehensive proposal is aimed at building a high-quality, sustainable system of care that improves the health, well-being, and quality of life in rural communities across the state. If fully awarded, Iowa could receive $200 million per project year period (a total of $1 billion over the 5-year grant). 

Healthy Hometowns Five Key Initiatives 

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Healthy Hometowns News

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Funding Opportunities

Funding Opportunities

Healthy Hometowns Funding Opportunities

Funding opportunities for Healthy Hometowns will be posted to the HHS Funding Opportunities web page linked below.

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Notice of Intent to Award

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