On Dec. 29, 2025, the Centers for Medicare and Medicaid Services (CMS) announced it had awarded Wisconsin $203.7 million for the first year of the federal Rural Health Transformation (RHT) Program.
Authorized under the One Big Beautiful Bill Act, the RHT Program is a competitive five-year $50 billion federal funding opportunity available to all states to strengthen and support rural health care. CMS will award funds to approved states over five years, with $10 billion distributed each year from 2026 through 2031.
In early November 2025, the state’s Department of Health Services (DHS) applied for $1 billion in RHT Program funds to support rural health transformation initiatives in Wisconsin for the next five years.
In its application, DHS proposed investing $945 million in three broad initiatives to strengthen the rural health care workforce, drive rural technology and innovation and transform rural care through partnerships. DHS’ application set aside the remaining $55 million for administration and evaluation. An overview of Wisconsin’s RHT Program budget approved by the federal government is here.

Wisconsin Hospital Association Updates
Watch the Hospital Member Briefing: Wisconsin’s Application for Rural Health Transformation Funding Webinar in the On-demand Learning Center for the latest updates about the application.
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