Idaho is set to receive nearly $1 billion over five years to improve healthcare access and affordability in rural areas. The funding comes from the Rural Healthcare Transformation grants, part of the “One Big Beautiful Bill” Act supported by President Donald Trump and congressional Republicans.
Governor Brad Little announced that Idaho will get $185.97 million annually for five years as part of a national $50 billion initiative overseen by the Centers for Medicare and Medicaid Services (CMS). CMS made the awards public earlier today.
The funds are intended to help states expand healthcare access, support rural health workers, modernize facilities and technology, and introduce new care delivery models. Nearly all counties in Idaho are classified as rural, with many communities facing issues such as limited access to care, workforce shortages, financial difficulties, and long distances to medical services. The grants aim to address these challenges through broad improvements and long-term investments.
Idaho’s application was prepared by the Department of Health and Welfare (DHW) with input from the Idaho Rural Health Taskforce. Governor Little established this task force through an executive order earlier this year. The group included legislative leaders, tribal representatives, executive branch officials, and gathered feedback from 500 survey responses across every county in Idaho.
Governor Little stated: “For many Idaho families – especially in rural areas – affordable, accessible health care is a real concern. This investment, made possible by the One Big Beautiful Bill Act, recognizes those challenges and puts resources where they’re needed most. It helps strengthen local health care and ensures Idahoans can get the affordable care they need, no matter where they live.”
DHW Director Juliet Charron added: “This funding gives Idaho the flexibility to pursue solutions that are shaped by rural communities themselves. By listening to providers, patients, and local leaders, the state can make targeted investments that support sustainable, high-quality care close to home.”
The program will distribute funds over five years following state procurement laws. A budget request will be submitted to the Legislature for approval of federal funds. More details about implementation will be released when available.
Additional information about Idaho’s Rural Health Transformation Program application can be found on the DHW website at https://healthandwelfare.idaho.gov/providers/rural-health-transformation-program-grant/about-rural-health-transformation-program-grant.
