California Rural Health Transformation (CalRHT)
New Grant Funding Opportunities!
Check out the CalRHT Grant Funding Opportunities page for more information.
Rural Health Transformation Program (RHTP) – Federal Program
The Rural Health Transformation (RHT) Program was authorized by the Working Families Tax Cut (Section 71401 of Public Law 119-21) to invest $50 billion over five years in rural healthcare delivery in rural communities. The program created the Rural Health Transformation Fund, a $50 billion investment over five years, available to all 50 states that apply.
The purpose of RHTP is to give states the flexibility and resources to reimagine how rural health care is delivered and financed. Funding is not intended to supplement Medicare or Medicaid, but instead to support innovative, state‑driven approaches that address longstanding rural challenges such as access, workforce shortages, and infrastructure gaps.
CalRHT Program – California’s Implementation
The California Rural Health Transformation (CalRHT) program is California’s approach to the federal Rural Health Transformation Program (RHTP), led by the Department of Health Care Access and Information, with Centers for Medicare & Medicaid Services (CMS) oversight. CalRHT is designed to strengthen health care delivery in rural communities where access challenges, workforce shortages, and infrastructure gaps create unique barriers to care.
Through RHTP, California has been awarded $233.6 million for Federal Fiscal Year 2026 to support rural communities across the state. Using this funding, HCAI and its partners are implementing a shared vision of a connected and resilient rural health system, helping ensure rural Californians can access timely, person‑centered care closer to home.
The CalRHT program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $233,639,308.46 with 100 percent funded by CMS/HHS. The contents are those of CalRHT and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.
Rural Health Policy Council (RHPC)
New Rural Health Policy Council (RHPC) – Meet the Council Members!
CalRHT Community Meetings
Upcoming Meetings
Rural Health Policy Council (RHPC) Meeting | July 28, 2026 | Register Now!
Previous Meeting Materials
Information Session CalRHT 2026 Grants (pre-recorded) | July 1, 2026 | Recording | Presentation
CalRHT Program Spring Webinar | April 21, 2026 | Recording | Presentation | Questions and Answers
Tech Innovation | October 1, 2025 | Recording
Workforce Development | October 1, 2025 | Recording
Innovative Care | October 2, 2025 | Recording
Sustainable Access | October 2, 2025 | Recording
Make Rural America Healthy Again | October 3, 2025 | Recording
CalRHT Kickoff Webinar | September 4, 2025 | Recording
CalRHT Kickoff Webinar | September 4, 2025 | Presentation Material
Additional Resources
- CalRHT Frequently Asked Questions (July 1, 2026)
- CalRHT Frequently Asked Questions (March 20, 2026)
- CalRHT Program Briefing (March 20, 2026)
- CalRHT Project Narrative (March 27, 2026)
- CalRHT Budget Narrative (March 27, 2026)
- CalRHT Project Abstract (November 6, 2025)
- CalRHT Notice of Award (April 22, 2026)
- CMS RHT Program webpage
- CMS RHT Program FAQs (April 2026)
- CMS RHT Program FAQs (October 2025)
- CMS Press Release (December 29, 2025)
- CMS 5-year Service Fact Sheet
- CMS Provider Payment Fact Sheet
Program Contacts
For additional questions contact the team at CalRHT@hcai.ca.gov.
CalRHT Program Subscription
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