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    Rural Health Transformation Program · FY2026–2030

    Texas

    $281M first-year CMS award (FY2026)

    Texas is actively implementing 'Rural Texas Strong,' backed by a $1.4B five-year CMS award. The state is in Budget Period 1 with an initial $281.3M to stabilize rural hospitals and launch six statewide initiatives across 10 rural regions serving 4.3M rural Texans. Texas HHSC is issuing rolling RFAs for each initiative through 2026.

    Here's what Texas is building — and where Beam fits.

    $281Mfirst-year CMS award (FY2026)
    6Program focus areas
    2Beam-aligned initiatives

    How Texas Is Allocating the Money

    A full funding split was not verified. The official state program has the latest plan and notices.

    $281M

    first-year CMS award (FY2026)

    6

    Initiatives

    2

    Beam fits

    #1 Initiative 1: Make Rural Texans Healthy Again
    #2 Initiative 2: Rural Texas Patients in the Driver's Seat
    #3 Initiative 3: Lonestar Advanced AI and Telehealth
    #4 Initiative 4: The Next Generation of the Small Town Doctor and Team
    #5 Initiative 5: Unified Care Infrastructure and Rural Cyber Protection
    #6 Initiative 6: Infrastructure and Capital Investments for Rural Texas
    Initiative 1Beam opportunity

    Initiative 1: Make Rural Texans Healthy Again

    Funding split not published

    Supporting initiative 1: make rural texans healthy again programs across Texas's rural communities.

    Initiative 2

    Initiative 2: Rural Texas Patients in the Driver's Seat

    Funding split not published

    Supporting initiative 2: rural texas patients in the driver's seat programs across Texas's rural communities.

    Initiative 3Beam opportunity

    Initiative 3: Lonestar Advanced AI and Telehealth

    Funding split not published

    Supporting initiative 3: lonestar advanced ai and telehealth programs across Texas's rural communities.

    Initiative 4

    Initiative 4: The Next Generation of the Small Town Doctor and Team

    Funding split not published

    Supporting initiative 4: the next generation of the small town doctor and team programs across Texas's rural communities.

    Initiative 5

    Initiative 5: Unified Care Infrastructure and Rural Cyber Protection

    Funding split not published

    Supporting initiative 5: unified care infrastructure and rural cyber protection programs across Texas's rural communities.

    Initiative 6

    Initiative 6: Infrastructure and Capital Investments for Rural Texas

    Funding split not published

    Supporting initiative 6: infrastructure and capital investments for rural texas programs across Texas's rural communities.

    A full funding split has not been verified. Amounts are not shown.

    hhs.texas.gov — Rural Health Transformation Program

    Upcoming Deadlines

    Texas RHTP · Application windows

    Aug
    26
    2026

    Initiative 4 Round 2 — Small Town Doctor & Team

    Workforce pipeline round two — recruitment, training, and retention for rural clinicians and care teams.

    Open application

    Where Texas Is in the Process

    Dec. 29, 2025

    CMS announces first-year RHTP funding for all 50 states. This is a national milestone, not a state-specific implementation update.

    Official source
    View Texas's Full RHTP Program Page

    Includes the approved project narrative, budget documents, fact sheet, and FAQs.

    Local Champions in Texas

    RHTP is administered at the state level, with active involvement from federal legislators, state agencies, and regional health institutions.

    Texas Health and Human Services Commission (HHSC)

    Lead State Agency

    Program design, fiscal oversight, RFA issuance, and federal reporting for Rural Texas Strong.

    Texas A&M Rural and Community Health Institute (RCHI)

    Technical Partner

    Operates the Rural Texas Strong HUB for coordination and technical assistance to applicants.

    Texas Organization of Rural and Community Hospitals (TORCH)

    Rural Hospital Partner

    Statewide voice for 161 rural Texas hospitals — supports facility engagement and procurement readiness.

    Texas Hospital Association (THA)

    Hospital Advocacy Organization

    Co-developed the Rural Texas Strong application with HHSC — focused on Initiative 6 (Infrastructure) and hospital liquidity.

    hhs.texas.gov & CMS Texas project abstract

    Where Beam Fits Into Texas's Plan

    Beam maps directly to Initiative 3 (Lonestar Advanced AI and Telehealth) — the specialist eConsult and tele-specialist layer for rural facilities — and supports Initiative 2 (Rural Texas Patients in the Driver's Seat) through tele-case-management and tele-utilization-management that keep patients in-network.

    Initiative 1 — Initiative 1: Make Rural Texans Healthy Again

    Supporting initiative 1: make rural texans healthy again across Texas's rural communities.

    Initiative 3 — Initiative 3: Lonestar Advanced AI and Telehealth

    Supporting initiative 3: lonestar advanced ai and telehealth across Texas's rural communities.

    Outcomes data and CMS reporting — every Beam interaction generates reportable metrics your program needs.

    White-label deployment — Beam runs under your brand, integrated into existing clinical workflows.

    If your network is evaluating partners for these initiatives — or if you're a rural hospital trying to understand how to qualify — that's the conversation we want to have.

    Talk to Beam About Texas

    Working on Texas's RHTP program?

    Ready to discuss strategy or need help with grant application?