Rural Health
Resources by Topic: Funding
Increasing Access to Rural Behavioral Health Care Through a Community-Based Workforce
Provides examples for improving access to behavioral healthcare via a community-based workforce in rural areas. Discusses behavioral health workforce needs in rural communities, prioritizing relationship building alongside formal training, promoting conditions for peer support specialists to thrive, integrating community-based roles into clinical teams and community settings, and leveraging the Rural Health Transformation Program (RHTP) and other time-limited funds to build long-term sustainability.
Author(s): Hadley Fitzgerald, Ashley Jasko
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Provides examples for improving access to behavioral healthcare via a community-based workforce in rural areas. Discusses behavioral health workforce needs in rural communities, prioritizing relationship building alongside formal training, promoting conditions for peer support specialists to thrive, integrating community-based roles into clinical teams and community settings, and leveraging the Rural Health Transformation Program (RHTP) and other time-limited funds to build long-term sustainability.
Author(s): Hadley Fitzgerald, Ashley Jasko
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Tribal Water Infrastructure: Opportunities Exist to Improve Federal Assistance
Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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The 21st Century ROAD to Housing Act (P.L. 119-101)
Provides an overview of the 21st Century ROAD to Housing Act (P.L. 119-101), which became law on July 11, 2026, and aims to address housing supply and affordability. Summarizes each provision of the law, as well as deadlines applicable to federal agencies. Includes references to rural programs throughout.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Provides an overview of the 21st Century ROAD to Housing Act (P.L. 119-101), which became law on July 11, 2026, and aims to address housing supply and affordability. Summarizes each provision of the law, as well as deadlines applicable to federal agencies. Includes references to rural programs throughout.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Dashboard: Arkansas Rural Health Transformation Program Year 1 Awards
Interactive dashboard displaying funding awarded under the Arkansas Rural Health Transformation Program (RHTP) to sub-grantees by initiative, recipient, and funded project. Includes summaries of project descriptions.
Date: 09/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Interactive dashboard displaying funding awarded under the Arkansas Rural Health Transformation Program (RHTP) to sub-grantees by initiative, recipient, and funded project. Includes summaries of project descriptions.
Date: 09/2026
Sponsoring organization: Arkansas Center for Health Improvement
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A Closer Look at the $50 Billion Rural Health Transformation Program
Provides an overview of the Rural Health Transformation Program, including the structure of the program, how funding can be used, how funding is distributed across and within states, and more. Includes data on the first year of RHTP funding awarded by state and by measure of state need.
Author(s): Zachary Levinson, Scott Hulver
Date: 09/2026
Sponsoring organization: KFF
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Provides an overview of the Rural Health Transformation Program, including the structure of the program, how funding can be used, how funding is distributed across and within states, and more. Includes data on the first year of RHTP funding awarded by state and by measure of state need.
Author(s): Zachary Levinson, Scott Hulver
Date: 09/2026
Sponsoring organization: KFF
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Rural Hospitals: Policy and Infrastructure Opportunities in the Rural Health Transformation Program
Describes state Rural Health Transformation Program (RHTP) initiatives and investments intended to support rural hospital stability. Covers policies to stabilize rural hospitals through operational modernization, shared services, and targeted technical assistance; regionalization and hub-and-spoke care models; care delivery transformation; maternal and perinatal healthcare access; health information technology advances and interoperability; and more.
Date: 09/2026
Sponsoring organization: National Rural Health Association
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Describes state Rural Health Transformation Program (RHTP) initiatives and investments intended to support rural hospital stability. Covers policies to stabilize rural hospitals through operational modernization, shared services, and targeted technical assistance; regionalization and hub-and-spoke care models; care delivery transformation; maternal and perinatal healthcare access; health information technology advances and interoperability; and more.
Date: 09/2026
Sponsoring organization: National Rural Health Association
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Rural Health Transformation Program 101
Provides a broad overview of the Rural Health Transformation Program (RHTP). Highlights legislation enacted by states that fulfill policy commitments outlined in state RHTP applications, support RHTP initiatives, establish advisory and oversight mechanisms, and more.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Provides a broad overview of the Rural Health Transformation Program (RHTP). Highlights legislation enacted by states that fulfill policy commitments outlined in state RHTP applications, support RHTP initiatives, establish advisory and oversight mechanisms, and more.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Cooperative Extension in Transition: Trends Through 2024
Reports on funding and program areas of Cooperative Extension programs from 1915 through 2024. Details how Cooperative Extension programs support agricultural education, nutrition, community development, and other topics relevant to rural populations.
Additional links: Report Summary
Author(s): Tatiana Borisova, Keith Fuglie, Benjamin Garber, Sun Ling Wang
Date: 09/2026
Sponsoring organization: USDA Economic Research Service
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Reports on funding and program areas of Cooperative Extension programs from 1915 through 2024. Details how Cooperative Extension programs support agricultural education, nutrition, community development, and other topics relevant to rural populations.
Additional links: Report Summary
Author(s): Tatiana Borisova, Keith Fuglie, Benjamin Garber, Sun Ling Wang
Date: 09/2026
Sponsoring organization: USDA Economic Research Service
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The IHS Navajo Area Office's Internal Controls for Awarding, Monitoring, and Reporting Sanitation Facilities Construction Projects Could Be Improved
Examines how the Navajo Area Indian Health Service (NAIHS) administered funds it received under the Infrastructure Investment and Jobs Act for 187 IHS Sanitation Facilities Construction (SFC) Program projects between fiscal years 2022 and 2024. Describes the NAIHS internal controls for awarding, monitoring, and reporting SFC Program projects, and whether NAIHS followed these controls.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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Examines how the Navajo Area Indian Health Service (NAIHS) administered funds it received under the Infrastructure Investment and Jobs Act for 187 IHS Sanitation Facilities Construction (SFC) Program projects between fiscal years 2022 and 2024. Describes the NAIHS internal controls for awarding, monitoring, and reporting SFC Program projects, and whether NAIHS followed these controls.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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Snapshot of Indian Health Service Sanitation Facilities Construction Projects Funded Under the Infrastructure Investment and Jobs Act
Describes how the Indian Health Service (IHS) used funds it received under the Infrastructure Investment and Jobs Act for the IHS Sanitation Facilities Construction (SFC) Program between fiscal years 2022 and 2025. Identifies challenges that IHS faced to administer SFC Program projects and actions taken by IHS Area Offices and tribes to address those challenges.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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Describes how the Indian Health Service (IHS) used funds it received under the Infrastructure Investment and Jobs Act for the IHS Sanitation Facilities Construction (SFC) Program between fiscal years 2022 and 2025. Identifies challenges that IHS faced to administer SFC Program projects and actions taken by IHS Area Offices and tribes to address those challenges.
Additional links: Report Highlights
Date: 09/2026
Sponsoring organization: Office of Inspector General (HHS)
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