Goodsurance

Policy & oversight

Texas Receives 281.3 Million Dollars, the Program's Largest State Award, to Expand Rural AI Telehealth

Texas's first-year Rural Health Transformation grant leads all states and centers on artificial intelligence, telehealth infrastructure, and growing the rural provider workforce.

By the Goodsurance editorial teamSeptember 7, 2026

Texas will receive 281.3 million dollars in the first year of the federal Rural Health Transformation Program, the largest first-year award of any state, according to the Texas Health and Human Services Commission. The funds are administered by the Centers for Medicare and Medicaid Services as part of a 50-billion-dollar, five-year effort to modernize rural health care across the country.

Texas's plan, called Rural Texas Strong, addresses several priorities. One focuses on deploying artificial intelligence and telehealth technology to connect patients in communities with few in-person providers, under the initiative named Lone Star Advanced AI and Telehealth. A second covers capital improvements at rural hospitals and clinics. A third targets wellness and nutrition programs for rural residents. The plan also includes components for rural workforce development.

Texas has a large rural population spread across a geographic area that makes access to specialty care difficult for residents in many counties. Rural hospitals in the state have faced financial pressure in recent years, and the federal funds are intended to help build more durable local health systems over the five-year program period.

Texas received the largest rural health grant of any state: 281.3 million dollars for AI telehealth, rural hospital upgrades, and new wellness programs.

In plain words

Texas is getting more than 281 million dollars, the largest amount of any state, from a federal program to improve rural health. The money will pay for new telehealth tools, artificial intelligence to help connect patients with care, improvements at rural hospitals and clinics, and wellness programs. Texas has many small towns far from hospitals, and the goal is to make it easier for people there to get care closer to home. The program runs for five years.

Source: Texas HHS
Read at the source →

More news

Other stories on what is moving in Medicare.

Policy & oversight

CMS Opens the FY 2028 Window for Hospitals Seeking Add-On Medicare Pay for New Technologies

A Federal Register notice invites hospitals and manufacturers to apply for supplemental Medicare payments when brand-new devices or drugs enter hospital care, with a virtual public meeting set for December and comments due by mid-December.

September 7, 2026

Policy & oversight

California Receives 233.6 Million Dollars in Federal Rural Health Grants for Telehealth and Workforce

California's first-year Rural Health Transformation Program award will fund expanded telehealth, rural workforce development, and new care models for communities far from hospitals.

September 7, 2026

Policy & oversight

Virginia Receives 122 Million Dollars in Federal Rural Health Grants to Expand Telehealth, Paramedics, and Workforce Training

CMS distributed the first portion of Virginia's first-year Rural Health Transformation Program award on August 28, with funds directed toward remote monitoring, community paramedicine, maternal care, and allied health career pipelines.

September 6, 2026

Policy & oversight

OIG: Conflicting Medicare Rules Allowed an Estimated 380 Million Dollars in Organ Payments Not Required by Federal Law

A federal audit completed September 1 found that CMS guidance permitted reimbursements to certified transplant centers for organs never implanted in Medicare patients, diverging from what federal statute requires.

September 6, 2026

Policy & oversight

MedPAC Opens Its New Study Cycle With Plans to Examine Part D Spending Growth, Medicare Advantage Trends, and Physician Payment Adequacy

The congressionally chartered Medicare advisory commission met September 3 and 4 to launch its 2026-2027 research agenda, which centers on prescription drug cost trends and the adequacy of what Medicare pays hospitals, doctors, and nursing homes.

September 6, 2026

Policy & oversight

Rhode Island Channels 5.48 Million Dollars in Federal Rural Health Funds Into Student Healthcare Career Training

CMS announced that Rhode Island's first-round Rural Health Transformation Program award, among the smallest in the country, will go entirely into school-based career and technical education programs aimed at building the state's future healthcare workforce.

September 5, 2026