Trump administration announces second $10 billion rural health award round

The Trump administration announced a second $10 billion round of awards for the Rural Health Transformation Program, sending funding to all 50 states. The program is part of a $50 billion, five-year fund created under the One Big Beautiful Act, according to The Hill.

The Hill reported that each participating state receives a baseline $100 million each year, with other funding allocated using factors including rural population, state plans and policy actions. Texas and Alaska are set to receive over $280 million and over $270 million, respectively. Politico reported that states were rewarded or penalized based on their 2025 record on MAHA and other priorities. Fierce Healthcare said implementation of state plans also helped determine awards. The Hill cited a KFF analysis estimating $137 billion in federal Medicaid spending cuts in rural areas over ten years.