WASHINGTON – Today marks an extraordinary milestone for rural healthcare in America. The Trump administration announced financial rewards for states through the Rural Health Transformation Programme – an unprecedented investment of £50 billion that Republicans established under President Trump's Working Families Tax Cut Act.
This historic initiative, which every Democrat voted against, represents the largest federal investment in rural healthcare in American history. Access to quality care should not be determined by your postcode. Today's announcement underscores the Trump administration's commitment to strengthening the rural healthcare workforce, modernising facilities and technology, and implementing innovative models of care that bring high-quality healthcare services to rural communities across the country.
List of awards by country:
State portion of remuneration for FY26
Alabama 203,404,327 USD
Alaska 272,174,856 USD
Arizona 166,988,956 USD
Arkansas 208,779,396 USD
California 233,639,308 USD
Colorado 200,105,604 USD
Connecticut 154,249,106 USD
Delaware 157,394,964 USD
Florida 209,938,195 USD
Georgia 218,862,170 USD
Hawaii 188,892,440 USD
Idaho 185,974,368 USD
Illinois 193,418,216 USD
Indiana 206,927,897 USD
Iowa 209,040,064 USD
Kansas 221,898,008 USD
Kentucky 905,591 USD
Louisiana 208,374,448 USD
Maine 190,008,051 USD
Maryland 168,180,838 USD
Massachusetts 162,005,238 USD
Michigan 173,128,201 USD
Minnesota 193,090,618 USD
Mississippi 205,907,220 USD
Missouri 216,276,818 USD
Montana 233,509,359 USD
Nebraska 218,529,075 USD
Nevada 179,931,608 USD
New Hampshire 204,016,550 USD
New Jersey 147,250,806 USD
New Mexico $484,741
New York 212,058,208 USD
North Carolina 213,008,356 USD
North Dakota 198,936,970 USD
Ohio 202,030,262 USD
Oklahoma 223,476,949 USD
Oregon 197,271,578 USD
Pennsylvania 193,294,054 USD
Rhode Island 156,169,931 USD
South Carolina 200,030,252USD
South Dakota 189,477,607 USD
Tennessee 206,888,882 USD
Texas 281,319,361 USD
Utah 195,743,566 USD
Vermont 195,053,740 USD
Virginia 189 544 888 USD
Washington 181,257,515 USD
West Virginia 199,476,099 USD
Wisconsin 203,670,005 USD
Wyoming 205,004,743 USD
The $50 billion allocated to the Rural Health Transformation Programme will be spread over five fiscal years, with $10 billion available each year from 2026 to 2030.
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