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Trump administration opens applications for 'Big Beautiful' rural health fund to states

The application deadline is Nov. 5 and a decision on the award will be made by Dec. 31.

Un miembro del personal médico administra una dosis de la vacuna contra el sarampión a un niño en un centro de salud de Lubbock, Texas, el 27 de febrero de 2025. Decenas de niños están siendo trasladados urgentemente a un centro de salud del estado norteamericano de Texas para recibir la vacuna contra el sarampión, tras la reciente muerte en la zona de un niño que no estaba inmunizado contra el virus altamente contagioso

Child getting vaccinated in Texas in 2025.AFP.

Williams Perdomo
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The Trump administration opened the process for states to submit a detailed application for the first installment of the five-year fund created to help rural providers offset cuts to Medicaid and other health programs contained in the president's "One Big, Beautiful Bill."

States can begin applying for their share of the $50 billion fund for rural health providers under the GOP tax-and-spend law. The application deadline is Nov. 5 and a decision on the award will be made by Dec. 31.

"We believe we can use this as an opportunity to pivot from the crisis that we are currently living in to the comeback that America expects from us," Centers for Medicare and Medicaid Services (CMS) Administrator Mehmet Oz said during a call with reporters reviewed by The Hill.

The distribution of funds

As for the distribution of the funds, it was reported that $25 billion will be allocated equally among all states, meaning that each with approved applications will get the same amount, regardless of the size of its rural population.

The remaining $25 billion will be subject to Oz's decision. The legislation grants him wide latitude in determining which projects to approve.

In that regard, the White House explained that states must submit detailed rural health transformation plans that explain how these resources will be used to improve access to health care providers in their communities.

"CMS will monitor implementation and hold states accountable to this plan to ensure resources are appropriately distributed and going to the most deserving, not the most politically connected," the White House said.

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