HarperRHTP Tracker
All States/Texas

Texas

Planning

Access to Care

FY26 Award
$/Rural Resident
$66
Rank
1st /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $181.3M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Infrastructure and Capital Investments for Rural Texas

Fund capital improvements and infrastructure upgrades to sustain and expand rural healthcare facilities across Texas.

Workforce Development
The Next Generation of The Small Town Doctor and Team

Build workforce education and attraction programs to recruit 1,000+ rural health professionals.

Financial Sustainability
Unified Care Infrastructure and Rural Cyber Protection

Strengthen cybersecurity protections and unify care infrastructure to support sustainable rural operations.

Quality & Health Outcomes
Make Rural Texans Healthy Again

Deploy wellness and nutrition programs to improve health outcomes for rural Texans.

Infrastructure & Technology
Lone Star Advanced AI and Telehealth

Implement advanced AI and telehealth solutions to modernize health data systems and care delivery.

Rural Texas Patients in the Driver's Seat

Deploy consumer-facing technology that empowers patients to manage their own health and care.

Source: CMS state abstracts

How to Participate in Texas

Steps for healthcare organizations to access RHTP funding through Texas's programs.

Lead State Agency
Texas Health and Human Services Commission (HHSC)
Visit agency website
Identify Your Role
Determine if your organization is eligible: hospitals, clinics, community health centers, health plans, and other rural healthcare providers can participate through state sub-awards.
Review State Plans
Read your state's RHTP application and initiative plans to understand which programs align with your organization's services and needs.
Engage With Your State Agency
Contact the lead state agency managing RHTP implementation. Attend stakeholder sessions and register for procurement notifications.
Respond to RFPs
When your state releases Requests for Proposals for RHTP sub-awards, submit applications aligned with the CMS goal buckets your state prioritizes.
Prepare for Compliance
Set up systems for quarterly reporting, outcome metric tracking, and financial audits required by CMS. Organizations receiving $750K+ need single audit capability.

Note: RHTP funds flow from CMS to state agencies, which then distribute to providers through sub-awards and contracts. Direct federal applications are not accepted — participation is through your state's program.

RHTP Compliance Checklist

Key obligations for organizations participating in Texas's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Texas's RHTP compliance?

Harper automates quarterly reporting, outcome metrics, and real-time compliance monitoring for RHTP participants. Get set up before your state's deadlines.

1,000+
new rural health professionals
Texas plans to add over 1,000 rural health professionals through its "Next Generation of The Small Town Doctor and Team" workforce initiative.
Source:CMS·KFF·Census

Federal Health Funding

Total HRSA grants to this state (FY16–25) vs. new CMS RHTP award

$536.9M
$558.9M
$574.5M
$587.3M
$738.5M
$1.1B
$692.9M
$718.3M
$704.6M
$691.3M
RHTP $281.3MHRSA $691.3M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$972.7M

FY26 HRSA projected from FY25 actuals (FY26 not yet published). RHTP is new CMS funding in addition to existing HRSA grants.

Rural pop. (2020)
Change since 2010
Rural poverty rate
Primary care shortage areas
Practitioners needed
Hospital closures since 2005
Complete closures
Converted (limited services)
Sources:HRSA·Sheps Center·Census·USDA ERS·HRSA HPSA

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