Rural Health Transformation Program (RHTP)

Background

H.R. 1, enacted into law on July 4, 2025, created a $50 billion fund called the Rural Health Transformation Program (RHTP).

Maryland's Submitted Proposal

The Centers for Medicare and Medicaid Services (CMS) posted a Notice of Funding Opportunity for states to apply for the RHTP on September 15, 2025. Maryland has submitted our application by the deadline posted. CMS must approve or deny all applications by December 31, 2025.

A summary of Maryland’s proposal is available here.

Maryland's submitted program narrative is available here. All projects and programs are subject to CMS approval.

Updates will be available on this page after 12/31. Future updates may include information about CMS funding awarded to Maryland as well as any opportunities to submit proposals for competitive subrecipient funding.

Maryland's Application Process to CMS

To gather feedback to inform the proposal, the Department:

Released a Request for Information (RFI) invitation on September 9, 2025. The RFI closed on September 30 and the Department received over 325 responses.
Held an introductory public webinar on September 15, 2025. Slides are available here.
Collaborated with local health departments to organize 17 local listening sessions held in-person and virtually throughout rural Maryland. More than 250 people participated.
On October 20, 2025, the Department presented a summary of the feedback and an outline of our draft Rural Health Transformation Plan. Slides are available here.

Learn More

We invite you to email [email protected] with any questions.

Last updated: 11-07-2025