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.
Access to Emergency Care
The purpose of this initiative is to shore up rural Wyoming’s access to basic medical infrastructure, to include ambulance services, emergency departments, and labor and delivery services.
Health Technology Transformation
The purpose of this initiative is to leverage sensible technology investments that can reasonably be expected to help groups of rural health providers.
Rural Workforce Supply
The purpose of this initiative is to grow the supply of essential health care workers in Wyoming using a combination of individual education support awards, educational capacity grants, and the 5-year required service periods.
Make Wyoming Healthy Again
This initiative is focused on improving people’s metabolic, behavioral, and cardiovascular health through a set of clinical and non-clinical interventions.
Wyoming’s Timeline
December 29, 2025: First-year award announced
January 20, 2026: Revised budget due to CMS (actual award)
January 2026 – February 2026: Initial meetings with CMS project staff
February 2026 – March 2026: Legislative action – appropriation of funds, establishment of Perpetuity
June 2026 – July 2026: Request for Application (RFA) and Request for Proposal (RFP) development
July 2026: Tentative application submission window
2026 Interim: Interim topics with Joint Labor Health and Social Services – scope of practice and compact issues
August 2026 – September 2026: Awards made; funds drawn down
October 1, 2026: Contract execution deadline
**All dates are tentative and subject to change as necessary.**
Questions About Wyoming’s Rural Health Transformation Program?
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Stevens Amendment Disclosure
Wyoming’s Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $205,004,742.95 in Budget Period 1, with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CMS/HHS, or the U.S. Government.