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Rural Texas Strong Grant Program is sponsored by Texas Health and Human Services Commission (HHSC) / Centers for Medicare & Medicaid Services (CMS). This program provides federal funding to eligible rural hospital districts and authorities in Texas to create or improve community-based prevention, wellness, and nutrition programs. It is part of a larger initiative to improve rural healthcare throughout the state.
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HHSC Submits Rural Texas Strong Revised Budget HHSC Submits Rural Texas Strong Revised Budget Texas Health and Human Services Commission sent this bulletin at 02/04/2026 03:59 PM CST / Este e-mail ha sido enviado por Texas Health and Human Services Commission el 02/04/2026 03:59 PM CST Having trouble viewing this email? View it as a Web page .
Rural Texas Strong Revised Budget The Health and Human Services Commission (HHSC) submitted budget revisions for federal funding to implement the Rural Texas Strong program. The Centers for Medicare and Medicaid Services (CMS) required states to submit updated budgets by January 30. HHSC has revised the following materials to account for the increased award amount from the proposed $200 million to $281.
3 million in Budget Period 1. Budget Period 1 Revised Budget Narrative Budget Period 1 Revised Project Narrative Budget Period 1 Revised Program Organizational Chart Once CMS approves the Rural Texas Strong budget, HHSC can advance its implementation of the six RTS Initiatives it proposed in its application for federal funding.
The Rural Texas Strong (RTS) program is the name of Texas’ program at the Health and Human Services Commission (HHSC) that will implement and distribute the federal funding. The six initiatives identify how Texas will use RHT funding to invest in rural health care and improve health outcomes for rural Texans and are described in the project narrative in the Texas RHT application .
The initiatives were created based on input from stakeholders to HHSC during the RHT application period.
The federal Rural Health Transformation (RHT) program was authorized by the Working Families Tax Cuts legislation (Section 71401 of Public Law 119-21) and previously known as the One Big Beautiful Bill Act to empower states to strengthen rural communities across the country by improving healthcare access, quality, and outcomes by transforming the healthcare delivery ecosystem.
To qualify for funding, states had to apply by November 5, 2025. On behalf of the state, HHSC submitted an application entitled Rural Texas Strong . On December 29, 2025, CMS awarded Texas $281.
3 million for the first year of the 5-year RHT program. HHSC is required by CMS to include the Stevens Amendment language below which acknowledges the federal support for the Rural Texas Strong program. Rural Texas Strong , is supported by CMS of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award with 100 percent of funding by CMS/HHS.
The contents of this email are those of HHSC and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government. Learn more about Rural Texas Strong and Rural Health Transformation Funding .
According to the current listing, eligibility includes: Eligible rural hospital districts and authorities in Texas. Confirm the full requirements in the official notice before applying.
Rural Texas Strong Grant Program is funded by Texas Health and Human Services Commission (HHSC) / Centers for Medicare & Medicaid Services (CMS). Verify program details on the funder's official page before applying.
This opportunity targets applicants in Texas. If your organization operates elsewhere, check the official notice for location requirements.
Start from the official opportunity page linked in this listing — it carries the sponsor's submission instructions.
On October 29, 2026, Texas announced $87.2 million in Rural Texas Strong grants to 129 rural health providers, its largest round yet from the $281.3 million first-year CMS Rural Health Transformation Program award. With weekly intent-to-award notices, roughly $224 million now announced across four rounds, and $1.4 billion expected over five years, here is what the awards reveal and how rural hospitals, clinics, EMS agencies and pharmacies should prepare for the next cycle.
Read articleCMS awarded the entire $50 billion Rural Health Transformation Program to all 50 states, with first-year checks averaging $200M per state and money starting to move October 1, 2026. The federal contest is over — but for rural hospitals, clinics, behavioral-health providers, and nonprofits, the real competition is just beginning inside each state's sub-grant process. Here is how the money splits, what it can fund, and how to position now.
Read articleCMS awarded all 50 states their first-year slice of the $50 billion Rural Health Transformation Program in December 2025 — from $147M in New Jersey to $281M in Texas. Now the money is moving downstream: New Jersey and New York have already launched subaward RFAs, and rural hospitals, clinics, community organizations, and tribal groups are the eligible applicants. Here is how the allocation formula worked, what the money can and cannot fund, and the strategy to win a state subaward.
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