State Data Maps

These maps show how the Rural Health Transformation Program (RHTP), made possible through the Working Families Tax Cuts Act, is supporting rural health care across the nation. The program delivers a historic $50 billion investment to approved states over fiscal years 2026–2030, with $10 billion available each year to support efforts to improve rural health care access, quality, and outcomes. State Snapshots offer a closer look at each state’s initiatives, focus areas, and State Policy Actions commitments.

State Rural Health Transformation Program Funding

The Rural Health Transformation Program provides $50 billion to approved states over five fiscal years, with $10 billion available each year from fiscal year 2026 through fiscal year 2030. The map shows RHT Program funding awarded to each state.

Click on the map below to see each state’s Rural Health Transformation Program funding.

State RHT Program Funding Data Table

RHTP Funding Data Table

State	Budget Period 1 Total Funding

State Policy Action Commitments

State Policy Action Commitments are policy changes that states committed to pursuing through the Rural Health Transformation Program. These policies reflect evidence-based strategies aligned with statutory goals related to access to care and chronic disease prevention and reduction. The map shows State Policy Action Commitments across participating states. A full description of each state's State Policy Actions baseline, commitments, and commitments progress can be found in the State Snapshots.

Click on the map below to see each state’s State Policy Action Commitments.

No State Policy Action Commitments

State Policy Action Commitments Data Table

State Policy Action Commitments Table RHTP

State	State Policy Action Commitments	Presidential Fitness Test	SNAP Food Restriction Waiver Policy	Nutrition Continuing Medical Education	Certificate of Need	Physician - Medical Licensure Compact	Nurse - Nurse Licensure Compact	EMS - EMS Compact	Psychology - PSYPACT	Physician Assistant - PA Compact	PA - Scope of Practice	NP - Scope of Practice	Pharmacist - Scope of Practice	Dental Hygienist - Scope of Practice	Short-term limited-duration insurance (STLDI)	Medicaid Payment for at Least One Form of Live Video	Medicaid Payment for Store and Forward	Medicaid Payment for Remote Patient Monitoring (RPM)	In-State Licensing Requirement Exception	Telehealth License/Registration Process (including special licenses)

State Rural Health Transformation Program Focus Areas and Initiative Progress

Explore each state’s Rural Health Transformation (RHT) Program focus areas and initiative progress. The map groups planned activities into eight categories and more than 30 focus areas, based on state project narratives. Initiatives are the projects and activities states fund through the RHT Program to carry out their rural health plans; the map shows how far each has progressed, from planning through full implementation. 

The State Focus Area Slides organize and summarize planned State RHTP activities into 8 key categories: Population Health, Workforce, Payment and Service Models, Health System Innovation, Accessible Care, Technology, Disease Prevention and Care, and Health Promotion. Categories are broken down further into 30+ focus areas. Data was compiled from State project narratives and additional rounds of State and CMS review. A full description of each state's initiatives can be found in the State Snapshots.

Click on the map below to see each state’s Rural Health Transformation Program focus areas and initiative progress.

State Progress on RHT Initiatives Data Table

State Progress on RHT Initiatives Data Table

State	Initiative Name	Stage 0	Stage 1	Stage 2	Stage 3	Stage 4	Stage 5