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Rural Health
Resources by Topic: Funding

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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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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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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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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So You Want To Become A Health Center
Provides guidance for organizations interested in establishing a new health center under the HRSA Health Center Program. Includes information on pathways of entry into the Health Center Program; Health Center Program benefits and eligibility; strategies for assessing community need; governance, financial, and operational considerations, and more.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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Year 1 Rural Health Transformation Program Community Health Center & Primary Care Association Award Recipients
Excel spreadsheet displaying the state primary care associations (PCAs) and health centers that received funding through each state's Rural Health Transformation Program. Includes the funding amount and description of each initiative.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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Rural Health Transformation Toolkit
Provides information and resources for state policymakers regarding rural health and the Rural Health Transformation Program. Links to resources describing how states have approached the RHTP application, policies on maternal health and oral health in rural communities, and more.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Preparing for a Federal Grant: A Small Community Case Study
A recorded webinar that provides a case study about a small community in rural Kansas and its management of a federal grant to build safe water infrastructure. Focuses on creating partnerships, utilizing technical assistance, coordinating with stakeholders, and increasing local capacity. Discusses strategies to assist small, rural communities in successfully preparing for and implementing federal grants.
Author(s): Anna Archer, Rhonda Bell
Date: 08/2026
Sponsoring organization: Environmental Finance Center Network
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Rural Texas Strong Project Narrative Budget Period 2
Provides proposed updates to the Texas Rural Health Transformation Program (RHTP) for Budget Period 2. Describes programs under each of the six initiatives, including implementation plans, stakeholder engagement plans, metrics and evaluation plans, and more.
Additional links: Rural Texas Strong Budget Narrative Budget Period 2
Date: 08/2026
Sponsoring organization: Texas Health and Human Services
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Texas RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in Texas. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: Texas Health and Human Services
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