Where RHTP money is going.

Every dollar states reported to CMS as obligated, in CMS’s spending categories, across all 50 states.

1. Workforce$650.7M · 34 states
2. Appropriate Care Availability$566.3M · 26 states
3. Prevention and chronic disease$481.5M · 31 states
4. IT Advances$476.1M · 32 states
5. Capital Expenditures and Infrastructure$329.5M · 21 states
6. Innovative Care$318.3M · 25 states
7. Program administration$292.3M · 48 states
8. Not categorized$240.8M · 5 states
9. Training and Technical Assistance$203M · 27 states
10. Fostering Collaboration$193.6M · 30 states
11. Behavioral Health$113.2M · 22 states
12. Provider Payments$102M · 11 states
13. Consumer Tech Solutions$81.9M · 16 states

Technology (IT advances, consumer tech)New models of care (innovative care, care availability)

What each state had obligated under CMS's technology categories, with its largest lines.

1. Hawaii$57.7M of $188.9M obligated
   • Combining critical technology upgrades with a suite of tech-enabled hubs that transform care delivery, data exchange, and community coordination$45,447,889
2. Mississippi$49.4M of $94.4M obligated
   • The Rural Provider Technology Grant program$47,500,000
   • The Telehealth Hub Connectivity and Equipment Grant program$1,900,000
3. Virginia$47.7M of $126.6M obligated
   • Supporting independent rural providers, Federally Qualified Health Centers (FQHCs), rural health clinics (RHCs), free clinics, and eligible health systems in…$16,073,769
   • Administer a Tech Innovation Fund grant program for companies developing consumer health technologies for disease prevention and management, particularly those…$9,891,550
4. Nebraska$38.3M of $128.1M obligated
   • Invest Nebraska Corp to support rural health technology innovation and commercialization$20,000,000
   • Box Butte General Hospital, Genoa Community Hospital & Park Street M, and 4 other organizations to implement remote patient monitoring programs to improve…$9,832,976
5. Kansas$33.8M of $127M obligated
   • The Emerging Technology Program$12,758,000
   • The Anchor Hospital Advancement Program$9,800,000
6. Georgia$31.5M of $218.9M obligated
   • Verification services for social services$11,500,000
   • Enhancing consumer engagement through expanded wellness platforms and AI-driven health risk profiles$10,200,000
7. North Carolina$27.4M of $167.7M obligated
   • The Rural Health Innovation Fund (RHIF) will serve as a catalytic investment to help rural health providers modernize operations and health information…$20,000,000
   • Onboarding eligible rural providers to the Health Information Exchange (HIE) Network in a manner that will maximize health care savings and efficiencies to the…$5,532,572
8. Connecticut$26.9M of $151.8M obligated
   • Electronic medical record replacement and hospital system modernization activities$15,192,336
   • Health information exchange, predictive analytics, telehealth, cybersecurity, bed capacity tracking, AI-powered care management, remote monitoring, and digital…$6,900,000
9. New Jersey$26.7M of $79.2M obligated
   • IT advances under RHT2$12,097,758
   • IT advances under RHT3$10,200,702
10. Utah$24.8M of $75M obligated
    • Scalable rural telehealth infrastructure projects, technology, and services$24,830,300
11. New Hampshire$24.7M of $204M obligated
    • Modernization and integration of healthcare technology systems, including electronic health records (EHRs), interoperability, cybersecurity, data…$19,940,939
    • Patient-facing technology that improves access, care coordination, and engagement, including remote patient monitoring, telehealth access, digital navigation…$2,500,000
12. Missouri$24.4M of $106.3M obligated
    • EHR replacement, enhancements, and implementation$24,422,037

21 more states report spending here; see each state’s page.

What each state had obligated under CMS's innovative-care and care-availability categories, with its largest lines.

1. Iowa$107.3M of $191.8M obligated
   • Robotic surgical systems, increasing rural access to advanced robotic surgical procedures$39,104,245
   • Fixed-site magnetic resonance imaging (MRI) machines, improving rural access to advanced diagnostics$24,420,383
2. Georgia$81M of $218.9M obligated
   • Achieving Healthcare Efficiency through Accountable Design (AHEAD) hospital and AHEAD primary care assessments, technical assistance, and risk mitigation$61,021,779
   • Deploying point-of-care tele-pods and mobile clinic units$6,210,474
3. California$79.9M of $219.1M obligated
   • In grant funds for Hub-and-Spoke Accelerator partnerships$39,010,000
   • In grant funds to support Transformative Payments for Strategically Located Hospitals$35,000,000
4. Maryland$66.1M of $167.2M obligated
   • Expanding services to meet current demand and build long-term capacity to improve health outcomes and deploy technology-enabled chronic disease management$28,318,590
   • Supporting regional mobile health programs, including chronic disease management, partnerships with EMS for community paramedicine and mobile health integrated…$20,145,837
5. Oklahoma$66.1M of $140.3M obligated
   • Building joint resiliency for rural hospitals through a rural-focused provider collaborative$33,862,084
   • The Oklahoma Health Care Authority (OHCA) Program of All-Inclusive Care for the Elderly (PACE) Rural Health Program$15,165,000
6. Rhode Island$63.3M of $114.2M obligated
   • Care Transformation Collaborative (CTC)-RI, HARI, Office of the Health Insurance Commissioner (OHIC), and RIHCA to provide implementation support and strategic…$17,749,121
   • Hospital Association of Rhode Island (HARI) to assess needs for a rural hospital at home program, providing people with acute care services where they are$15,787,413
7. Washington$56.3M of $122.7M obligated
   • Investing in critical technology infrastructure and maintenance needs$41,993,047
   • Adopt technology & data solutions to enable health improvements$6,747,300
8. Hawaii$45.2M of $188.9M obligated
   • Medical diagnostic equipment and technology, including electronic health record (EHR) upgrades and data sharing$25,000,000
   • Operations logistics, data collection, and analysis of telehealth programs$5,260,552
9. Missouri$35.3M of $106.3M obligated
   • Implementation of discretionary hubs, local partner service delivery costs, partner coordination and convening, performance monitoring and reporting to support…$15,221,668
   • Improving provider digital innovation$8,000,000
10. Pennsylvania$31.1M of $123.1M obligated
    • Strengthening Pennsylvania's rural EMS system, including equipment for EMS personnel and the purchase of an ambulance, to deliver the best possible emergency care$13,399,330
    • Replacing and upgrading diagnostic imaging equipment across rural hospitals, including computerized tomography (CT) scanners, an X-ray unit, a fluoroscopy…$4,679,526
11. Indiana$31.1M of $202.5M obligated
    • Building a 24/7 statewide Medical Operations Coordination Center to streamline patient transfers, emergency medical service (EMS) coordination and hospital…$14,050,861
    • Equipping rural emergency departments and EMS teams with training, standardized protocols and readiness certification to reduce preventable child deaths and…$11,423,353
12. Tennessee$26.3M of $31.3M obligated
    • Design and implement three (3) value-based payment (VBP) programs$20,350,000
    • Investments into perinatal centers through training, supplies for emergency medical services (EMS), care delivery$3,273,217

20 more states report spending here; see each state’s page.

Awards in states’ own published lists whose projects are technology work: telehealth, remote monitoring, electronic health records, data and digital tools.

• Nebraska High Value Network · NebraskaInitiative 4.4b – Remote Patient Monitoring in Facilities and at Home$18,156,856
• Norton Sound Health Corporation · AlaskaNew Computers/Servers for Norton Sound Health Corporation$4,978,914
• healthEconnect Alaska · AlaskaStatewide Health Information Exchange Expansion$4,570,000
• Department of Corrections · AlaskaStrengthening Alaska’s Correctional Health System Through Virtual Care$3,882,216
• Ophthalmic Associates · AlaskaMyEyesAI Hub-and-Spoke Tele-Ophthalmology for Rural Alaska.$3,606,476
• Alaska Stroke Coalition · AlaskaStatewide Deployment of Clinical AI Decision Support Network Across Alaska Hospitals$3,156,626
• Yukon-Kuskokwim Health Corporation · AlaskaModernizing Village Clinic Network Infrastructure to Support Telehealth and Cloud Systems$2,726,680
• Fond of You Inc (Somethings) · AlaskaVirtual Low-Bandwidth Certified Peer Support for Youth and Young Adults in Rural Alaska$2,617,260
• Central Peninsula General Hospital · AlaskaRural Healthcare Access Expansion Through Technology-Enabled Care$1,950,030
• Anchorage Neighborhood Health Center · AlaskaDigital Infrastructure and Systems Transformation$1,500,000
• Alaska Coalition on Housing and Homelessness · AlaskaUpdate of the Alaska Homeless Management Information System for Data Sharing with the Department of Health$1,090,860
• Cartwheel Health Services · AlaskaProject HEARTH: Health & Education Advancement through Rural Telehealth Hubs$993,347
• CHI St. Mary’s · NebraskaInitiative 4.4b – Remote Patient Monitoring in Facilities and at Home$908,476
• Senior and Disability Services (DOH) · AlaskaIncrease telehealth services for Individuals with Intellectual and/or Developmental Disabilities on HCBS waivers$850,000
• Antelope Memorial Hospital · NebraskaInitiative 4.4b – Remote Patient Monitoring in Facilities and at Home$778,897

Obligated funds come from CMS’s RHTP Obligated Funds Report (data as of July 31, 2026), which the tracker reads automatically each time CMS updates it. Categories and line descriptions are CMS’s and the states’ own wording. Awards come from states’ own published award lists (860 awards, $802.6M, in 7 states so far). Each state’s full breakdown is on its state page.