Alabama’s rural communities are getting a infusion of $203,404,327 under the Trump administration’s state-led rural health transformation plan.
The Centers for Medicare & Medicaid Services announced Monday that all 50 states will receive awards through the program, which CMS says was established under President Trump’s Working Families Tax Cuts legislation.
Awards for 2026 average about $200 million per state, with totals ranging from $147 million to $281 million, according to CMS.
“More than 60 million Americans living in rural areas have the right to equal access to quality care,” said Health and Human Services Secretary Robert F. Kennedy, Jr.
“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.”
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Governor Kay Ivey announced Alabama submitted its plan to CMS earlier this fall, which qualified the state for funding tied to a multi-year rural system redevelopment effort.
According to Alabama’s submitted plan, the state’s rural strategy is built around 11 coordinated initiatives aimed at making rural facilities more financially viable, expanding access, including telehealth, and strengthening workforce pipelines.
The Alabama Department of Economic and Community Affairs (ADECA) will administer the program if and as funding flows.
In the Southeast, Alabama’s first-year award comes in the same neighborhood as regional peers, including $218 million for Georgia, $205.9 million Mississippi, $206.9 million for Tennessee, and $209.9 million for Florida.
