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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
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