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
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.