On July 4, 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law. Part of that law creates the Rural Health Transformation Program. This new program offers Wyoming a significant opportunity to strengthen rural healthcare through sustainable, innovative, and transformative solutions.
Funding under this program is intended to support priorities such as:
- Chronic disease prevention and behavioral health;
- Sustaining access to care in rural communities;
- Innovative approaches to care delivery and payment models;
- Workforce development and training;
- Technological and consumer health solutions; and
- IT advances and technical assistance.
Wyoming’s Timeline
|
Date(s) |
Activity |
|
December 29, 2025 |
First-year award announced |
|
January 30, 2026 |
Revised budget due to CMS (actual award) |
|
January – February |
Initial meetings with CMS project staff |
|
February – March |
Legislative action – appropriation of funds, establishment of Perpetuity |
|
March – April |
Requests for Applications (RFAs) and Requests for Proposals (RFPs) posted. Informational webinars and Q & A sessions will be held prior to posting. |
|
2026 interim |
Interim topics with Joint Labor Health and Social Services – scope of practice and compact issues |
|
May – June |
Awards made; funds drawn down. |
|
July – August |
Contracts executed |

