President Donald Trump’s administration unveiled Monday hundreds of millions of dollars each state will receive this fiscal year as part of a $50 billion rural health fund baked into Republicans’ “big, beautiful” law.
The five-year Rural Health Transformation Program — authorized under GOP lawmakers’ mega tax and spending cut package Trump signed into law in July — is designed to offset the budget impacts on rural areas due to sweeping Medicaid cuts.
Half of the $50 billion will be distributed equally among each state between fiscal years 2026 and 2030, according to the Centers for Medicare and Medicaid Services.
The agency under the U.S. Department of Health and Human Services said the remaining $25 billion, doled out over the same time period, is being allocated to states based on several factors, such as steps states are taking to improve access to care in rural communities.
The nonpartisan health research organization KFF found that the Rural Health Transformation Program would only offset a little more than one-third of the Big Beautiful Bill’s estimated $137 billion cut to federal Medicaid spending in rural areas over the next decade.
According to this week’s announcement from the Centers for Medicare and Medicaid Services, Texas will get the highest first-year award at $281.3 million, followed by Alaska at $272.2 million, California at $233.6 million, Montana at $233.5 million and Oklahoma, at $223.5 million.
Nevada’s allocation, $179.9 million, ranked 42nd of the fifty states.
“Thanks to this landmark investment, Nevada is positioned to make meaningful advancements in support of the state’s rural health care system,” said Nevada Gov. Joe Lombardo in a statement released by his office Monday.
The office’s statement identified four priorities for the funding in Nevada: chronic disease prevention and management; investment in technology, equipment, and other health care infrastructure; incentives and tuition assistance as part of workforce recruitment; and telehealth.