Gov. Greg Gianforte (R) and the Department of Public Health and Human Services announced the state will receive $233 million dedicated to rural healthcare in 2026. Montana received the fourth-most money of any state. Only Texas, Alaska, and California received more. The state health department will now submit a revised budget to CMS.  

Also in Montana, NACDS encourages interested members to review the information and updates on the state’s Rural Health Transformation Program (RHTP) website 

Highlights include the following:  

  • In the upper right corner of the website under “Stay Engaged”, please consider signing up for email updates.  
  • Review “Frequently Asked Questions”, particularly questions related to funding and stakeholder engagement. 
  • Review “Stakeholder Advisory Meetings”. Below are the agenda and presentation from the January 22, 2026 meeting. 
    • Rural Health Transformation Stakeholder Advisory Committee presentationPlease note RHTP governance overview (slide #5), procurement (slides #6 and #7), and program initiatives (slides #13 through #29) 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.