Resources for Rural Health
OBBBA and RHT Program Resource Center
Updates and resources to help rural hospitals, clinics, and providers navigate the One Big Beautiful Bill Act (OBBBA) and the Rural Health Transformation (RHT) Program
What to Do Now
States are making RHT Program grants available. Time to submit your grant if you haven’t yet.
Read why Azalea EHR checks off critical RHT Program needs.
Check out the RHT Program fact sheet.
Understand your payer mix and how OBBBA changes could affect you.
What’s New
- Managing compliance risk for the Rural Health Transformation Program
- How Azalea EHR Satisfies RHT Program Needs
- State application tracker
- Timeline of key OBBBA and RHT Program dates
Rural Health Resources
ON-DEMAND WEBINAR
Hear what states are likely to fund first, and what rural healthcare leaders can focus on now to avoid missing out or having to scramble later. The goal isn’t guessing. It’s getting ready.
ARTICLE
Read how Azalea EHR satisfies specific approved RHT Program initiatives and is the best EHR for rural providers to maximize program funding.
ON-DEMAND WEBINAR
Learn when clinically integrated networks make sense, what they are, how CINs relate to value-based care, and their benefits.
ON-DEMAND WEBINAR
Get ideas for using different federal and private grants to help with the effects of the OBBBA along with tips on finding and applying for grants.
ON-DEMAND WEBINAR
Find practical ideas for how your rural hospital or clinic can mitigate the impacts of the OBBBA.
ARTICLE
Find out the difference between fee-for-service and value-based care and why value-based care can help rural hospitals and clinics increase financial stability.
ARTICLE
Hear industry experts break down the OBBBA and share practical steps you can take now to prepare.
FREE DOWNLOAD
Get key facts about the RHT Program, including a program overview, funding breakdown, eligible uses, and how to prepare for your share of its $50 billion in funding.
ON-DEMAND WEBINAR
Hear industry experts break down the OBBBA and share practical steps you can take now to prepare.
ARTICLE
Learn how to easily estimate how changes in Medicaid coverage might affect your hospital or clinical as OBBBA impacts take effect.
ARTICLE
Get essential insights into the RHT Program — what it is, how the $50 billion funding is structured, who qualifies, and the steps you should take now to secure your share.
Payer Mix Impact Calculator
Understanding how the OBBBA and RHT Program may affect your payer mix is an important part of planning ahead. And this Payer Mix Impact Calculator lets hospitals and practices estimate the potential impact of coverage changes on patient visits and revenue.
With this tool:
- Uncover your current payer mix and revenue by category
- Compare best-, expected-, and worst-case scenarios
- Estimate your potential visit and revenue changes
- Adjust assumptions to reflect your patient population
This model gives leaders clear, scenario-based insights that support planning and decision-making. Downloads as a Microsoft Excel file. Watch an overview of using the calculator.
Discover Key Dates that Impact Rural Healthcare
Visit the OBBBA and RHT Program timeline to see key dates of both that affect rural healthcare along with impacts specific to Medicare, Medicaid, the Affordable Care Act, and the RHT Program.
Stay Informed
Keep up with trusted sources for the latest updates, expert takes, and in-depth info on the OBBBA and RHT Program.
RSM looks at the risk of states overlooking compliance requirements as they rollout local RHT Program grants.
A KFF analysis looks at the range of RHT Program fund awards across all 50 states and includes a drill-down of dollars per rural resident.
CMS created an Office of Rural Health Transformation on December 18. The office will manage the RHT Program.
Princeton University’s State Health & Value Strategies maintains an interactive map with links to state RHT program application status and full applications when available.
CMS press release from November 5, 2025 shares that all 50 states submitted applications for a part of the $50 Rural Health Transformation (RHT) Program funding.
The National Conference of State Legislature’s resource page for the RHT Program with resources on multiple aspects of the program and what states can use funds for.
A new tool from Fitzhugh Mullan Institute for Health Workforce Equity lets you track Medicaid beneficiaries’ health care use through claims and the workforce that cares for them as you prepare to bid for RHT Program funds.
The Centers for Medicare & Medicaid Services (CMS) page on the RHT Program, including a timeline of application dates.
KFF offers five key takeaways from the RHT Program fund and information on how CMS will review applications and distribute funds.
Read the complete legislative text of the One Big Beautiful Bill Act as signed into law.
National Association of Rural Health Clinics’ (NARHC) summary and implications for RHCs.
The National Rural Health Association’s (NRHA) official position and advocacy points.
Ongoing analysis and data from KFF (Kaiser Family Foundation) on Medicaid policy changes and rural healthcare impacts.
Federal rural health policy and funding updates, including grant announcements and program guidance.
The Center’s assessment of the OBBBA’s impacts on Medicare and Medicaid and how it shifts federal health care policy.
FAQs
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Disclaimer: This page is updated regularly as new information becomes available. The content provided reflects Azalea Health’s understanding of the One Big Beautiful Bill Act (OBBBA) and related programs as of the latest update. It is intended for informational purposes only and should not be considered legal, financial, or medical advice. Please consult official sources or qualified professionals for guidance specific to your organization.