The Trump administration plans to distribute between $147 million and $281 million to each U.S. state in 2026 through a widespread rural health program designed to provide better access to medical care in rural areas.
The effort, which is one aspect of the One Big Beautiful Bill Act, earmarks $50 billion across five fiscal years, making available $10 billion annually from 2026 to 2030 to all 50 states. Centers for Medicare & Medicaid Services Administrator Mehmet Oz revealed the plan Monday, underscoring its goal to reverse the trend of long-term declines in rural health metrics while avoiding building out costly new infrastructure.





