The Centers for Medicare & Medicaid Services announced Monday that it was launching its $50 billion initiative to help rural communities nationwide, which was created through the One Big Beautiful Bill Act in July.

All 50 states will receive monetary assistance that will go to rural areas starting next year, with the first wave of awards ranging from $147 million to $281 million. 

The awards are expected to be used to bring more resources to Americans in rural areas, including by expanding preventive, primary, maternal, and behavioral health services; strengthen and sustain the rural clinical workforce; and modernize medical technology in rural areas.

“More than 60 million Americans living in rural areas have the right to equal access to quality care,” Health and Human Services Secretary Robert F. Kennedy, Jr. said in a statement. “This historic investment puts local hospitals, clinics, and health workers in control of their communities’ healthcare. 

"Thanks to President Trump’s leadership, rural Americans will now have affordable healthcare close to home, free from bureaucratic obstacles," he added.

The highest award goes to Texas, which will receive $281 million, while the smallest goes to New Jersey, which will receive $147 million in fiscal year 2026. States like California and Montana will receive $233 million each.  

The Rural Health Transformation Program’s $50 billion will be allocated to the approved states over the span of five years, with $10 billion available each year from 2026 through 2030. 

Misty Severi is a news reporter for Just The News. You can follow her on X for more coverage.