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Invitation to Comment: Rural Health Transformation Program

The Missouri Department of Social Services, through the MO HealthNet Division, is seeking your input on the Rural Health Transformation Program. This new federal program, created under the One Big Beautiful Bill Act (H.R.1), will distribute $50 billion nationwide between 2026 and 2030 to support innovative strategies for improving rural healthcare.


As the Centers for Medicare & Medicaid Services (CMS) prepares additional guidance on the application process, MHD is seeking public input on key initiatives and priorities to consider for potential funding. Each state must apply to receive funding, and Missouri’s application will be guided by the priorities identified during this public comment period. States are required to select at least three of nine eligible funding categories, making your perspective especially important as we consider the needs of Missouri’s rural communities. The exact amount of federal funding that Missouri may receive remains undetermined pending the approval of its application.


Your comments will help shape Missouri’s application and priorities.

Thank you for taking the time to share your insight. Your contribution will help shape Missouri’s path forward in strengthening rural health care.