State Rural Hospital Flexibility Program
CFDA 93.241 · Federal Grants & Funding
Total Funding
$262.9M
Awards
57
Recipients
52
States
45
Last Updated
Mar 5, 2026
Yearly Funding Trend
| Fiscal Year | Obligations | Awards | YoY Change |
|---|---|---|---|
| 2024 | $262.6M | 56 | |
| 2025 | $250K | 1 | -99.9% |
Award Type Mix
| Type | Obligations | Awards |
|---|---|---|
| $0 | 0 |
Top 50 Awards under CFDA 93.241
Largest individual obligations for State Rural Hospital Flexibility Program.
| Award | Recipient | Awarding Agency | Place | FY | Obligation |
|---|---|---|---|---|---|
ASST_NON_UR347053_075 RURAL EMERGENCY HOSPITAL TECHNICAL ASSISTANCE CENTER | RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. Pennsylvania | Department of Health and Human Services Health Resources and Services Administration | HARRISBURG, PA-10 | 2024 | $17,422,941 |
ASST_NON_U2701080_075 MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM EVALUATION COOPERATIVE AGREEMENT | REGENTS OF THE UNIVERSITY OF MINNESOTA Minnesota | Department of Health and Human Services Health Resources and Services Administration | MN-90 | 2024 | $12,005,244 |
ASST_NON_UB124206_075 INFORMATION SERVICES TO RURAL HOSPITAL FLEXIBILITY | RURAL HEALTH RESOURCE CENTER Minnesota | Department of Health and Human Services Health Resources and Services Administration | DULUTH, MN-08 | 2024 | $8,524,119 |
ASST_NON_U2W33321_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | UNIVERSITY OF NORTH DAKOTA North Dakota | Department of Health and Human Services Health Resources and Services Administration | ND-00 | 2024 | $7,524,844 |
ASST_NON_U2W33306_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | KANSAS DEPARTMENT OF HEALTH & ENVIRONMENT Kansas | Department of Health and Human Services Health Resources and Services Administration | KS-90 | 2024 | $7,250,306 |
ASST_NON_U2W33326_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | HEALTH, WASHINGTON STATE DEPARTMENT OF Washington | Department of Health and Human Services Health Resources and Services Administration | WA-90 | 2024 | $7,048,909 |
ASST_NON_U2W33314_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | MINNESOTA DEPARTMENT OF HEALTH Minnesota | Department of Health and Human Services Health Resources and Services Administration | MN-90 | 2024 | $6,904,916 |
ASST_NON_U2W33313_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | AGRICULTURE, TEXAS DEPARTMENT OF Texas | Department of Health and Human Services Health Resources and Services Administration | TX-90 | 2024 | $6,880,932 |
ASST_NON_U2W33320_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | STATE OF MONTANA DEPARTMENT OF HEALTH AND HUMAN SERVICES Montana | Department of Health and Human Services Health Resources and Services Administration | MT-90 | 2024 | $6,621,548 |
ASST_NON_U2W33315_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES Nebraska | Department of Health and Human Services Health Resources and Services Administration | NE-90 | 2024 | $6,522,723 |
ASST_NON_U2W33298_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | OHIO DEPARTMENT OF HEALTH Ohio | Department of Health and Human Services Health Resources and Services Administration | OH-90 | 2024 | $6,315,322 |
ASST_NON_U2W33301_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | DEPARTMENT OF PUBLIC HEALTH ILLINOIS Illinois | Department of Health and Human Services Health Resources and Services Administration | IL-90 | 2024 | $6,206,782 |
ASST_NON_U2W33317_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | MICHIGAN CENTER FOR RURAL HEALTH Michigan | Department of Health and Human Services Health Resources and Services Administration | EAST LANSING, MI-07 | 2024 | $6,010,508 |
ASST_NON_U2W33311_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | UNIVERSITY OF ARIZONA Arizona | Department of Health and Human Services Health Resources and Services Administration | AZ-90 | 2024 | $5,970,929 |
ASST_NON_U2W33303_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | UNIVERSITY OF WISCONSIN SYSTEM Wisconsin | Department of Health and Human Services Health Resources and Services Administration | WI-90 | 2024 | $5,955,279 |
ASST_NON_U2W33327_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | OREGON HEALTH & SCIENCE UNIVERSITY Oregon | Department of Health and Human Services Health Resources and Services Administration | OR-90 | 2024 | $5,826,627 |
ASST_NON_U2W33302_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | IOWA DEPARTMENT OF PUBLIC HEALTH Iowa | Department of Health and Human Services Health Resources and Services Administration | IA-90 | 2024 | $5,769,827 |
ASST_NON_U2W33312_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION, THE Kentucky | Department of Health and Human Services Health Resources and Services Administration | KY-90 | 2024 | $5,326,480 |
ASST_NON_U2W33319_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | OKLAHOMA STATE UNIVERSITY Oklahoma | Department of Health and Human Services Health Resources and Services Administration | OK-90 | 2024 | $5,140,490 |
ASST_NON_U2W33305_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | COLORADO RURAL HEALTH CENTER Colorado | Department of Health and Human Services Health Resources and Services Administration | AURORA, CO-06 | 2024 | $5,002,328 |
ASST_NON_U2W33286_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | DEPARTMENT OF COMMUNITY HEALTH GEORGIA Georgia | Department of Health and Human Services Health Resources and Services Administration | GA-90 | 2024 | $4,949,456 |
ASST_NON_U5E39345_075 RURAL HEALTHCARE PROVIDER TRANSITION PROJECT | RURAL HEALTH RESOURCE CENTER Minnesota | Department of Health and Human Services Health Resources and Services Administration | DULUTH, MN-08 | 2024 | $4,892,562 |
ASST_NON_U2W33329_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | SOUTH DAKOTA DEPARTMENT OF HEALTH South Dakota | Department of Health and Human Services Health Resources and Services Administration | SD-00 | 2024 | $4,855,719 |
ASST_NON_U2W33300_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | INDIANA DEPARTMENT OF HEALTH Indiana | Department of Health and Human Services Health Resources and Services Administration | IN-90 | 2024 | $4,807,391 |
ASST_NON_U2W33287_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES North Carolina | Department of Health and Human Services Health Resources and Services Administration | NC-90 | 2024 | $4,751,050 |
ASST_NON_U2W33308_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | IDAHO DEPARTMENT OF HEALTH & WELFARE Idaho | Department of Health and Human Services Health Resources and Services Administration | ID-90 | 2024 | $4,639,121 |
ASST_NON_U2W33307_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | STATE OF ALASKA DEPARTMENT OF HEALTH Alaska | Department of Health and Human Services Health Resources and Services Administration | AK-00 | 2024 | $4,525,437 |
ASST_NON_U2W33318_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | BOARD OF REGENTS OF NEVADA SYSTEM OF HIGHER EDUCATION Nevada | Department of Health and Human Services Health Resources and Services Administration | NV-90 | 2024 | $4,274,100 |
ASST_NON_U2W33324_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | WEST VIRGINIA STATE HEALTH DEPARTMENT West Virginia | Department of Health and Human Services Health Resources and Services Administration | WV-90 | 2024 | $4,072,330 |
ASST_NON_U2W33310_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | HEALTH, LOUISIANA DEPARTMENT OF Louisiana | Department of Health and Human Services Health Resources and Services Administration | LA-90 | 2024 | $3,986,348 |
ASST_NON_U2W33316_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | FLORIDA DEPARTMENT OF HEALTH Florida | Department of Health and Human Services Health Resources and Services Administration | FL-90 | 2024 | $3,912,545 |
ASST_NON_U2W33288_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | HEALTH AND HUMAN SERVICES, MAINE DEPARTMENT OF Maine | Department of Health and Human Services Health Resources and Services Administration | ME-90 | 2024 | $3,810,259 |
ASST_NON_U2W33328_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | SOUTH CAROLINA OFFICE OF RURAL HEALTH, INC. South Carolina | Department of Health and Human Services Health Resources and Services Administration | LEXINGTON, SC-02 | 2024 | $3,760,725 |
ASST_NON_U2W33330_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | DEPARTMENT OF HEALTH WYOMING Wyoming | Department of Health and Human Services Health Resources and Services Administration | WY-00 | 2024 | $3,752,826 |
ASST_NON_U2W33295_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES Missouri | Department of Health and Human Services Health Resources and Services Administration | MO-90 | 2024 | $3,496,734 |
ASST_NON_U2W33290_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | MISSISSIPPI STATE DEPARTMENT OF HEALTH Mississippi | Department of Health and Human Services Health Resources and Services Administration | MS-90 | 2024 | $3,427,886 |
ASST_NON_U2W33292_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | THE PENNSYLVANIA STATE UNIVERSITY Pennsylvania | Department of Health and Human Services Health Resources and Services Administration | UNIVERSITY PARK, PA-15 | 2024 | $3,392,367 |
ASST_NON_U2W33323_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | UTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES Utah | Department of Health and Human Services Health Resources and Services Administration | UT-90 | 2024 | $3,365,323 |
ASST_NON_U2B32163_075 VULNERABLE RURAL HOSPITALS ASSISTANCE PROGRAM | TEXAS A & M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER Texas | Department of Health and Human Services Health Resources and Services Administration | TX-90 | 2024 | $3,176,698 |
ASST_NON_U2W33309_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | HAWAII DEPARTMENT OF HEALTH Hawaii | Department of Health and Human Services Health Resources and Services Administration | HI-90 | 2024 | $3,152,270 |
ASST_NON_U2W33297_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | STATE OF NEW MEXICO New Mexico | Department of Health and Human Services Health Resources and Services Administration | NM-90 | 2024 | $3,085,245 |
ASST_NON_U2W33325_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | TENNESSEE DEPARTMENT OF HEALTH Tennessee | Department of Health and Human Services Health Resources and Services Administration | TN-90 | 2024 | $3,045,739 |
ASST_NON_U2W33296_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | HEALTH RESEARCH, INC. New York | Department of Health and Human Services Health Resources and Services Administration | MENANDS, NY-20 | 2024 | $3,014,112 |
ASST_NON_U2W45477_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION California | Department of Health and Human Services Health Resources and Services Administration | CA-90 | 2024 | $2,972,190 |
ASST_NON_U2W33289_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES New Hampshire | Department of Health and Human Services Health Resources and Services Administration | NH-90 | 2024 | $2,878,277 |
ASST_NON_U2W33304_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | ARKANSAS DEPARTMENT OF HEALTH Arkansas | Department of Health and Human Services Health Resources and Services Administration | AR-90 | 2024 | $2,817,591 |
ASST_NON_U1R29052_075 RURAL QUALITY IMPROVEMENT TECHNICAL ASSISTANCE COOPERATIVE AGREEMENT | STRATIS HEALTH Minnesota | Department of Health and Human Services Health Resources and Services Administration | BLOOMINGTON, MN-03 | 2024 | $2,702,270 |
ASST_NON_U2W33293_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | ALABAMA DEPARTMENT OF HEALTH Alabama | Department of Health and Human Services Health Resources and Services Administration | AL-90 | 2024 | $2,556,536 |
ASST_NON_U2W33299_075 MEDICARE RURAL HOSPITAL FLEXIBILITY | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH Virginia | Department of Health and Human Services Health Resources and Services Administration | VA-90 | 2024 | $2,534,194 |
ASST_NON_U2B49923_075 TARGETED TECHNICAL ASSISTANCE FOR RURAL HOSPITALS PROGRAM | GEORGIA SOUTHERN UNIVERSITY RESEARCH & SERVICE FOUNDATION INC Georgia | Department of Health and Human Services Health Resources and Services Administration | GA-90 | 2024 | $2,400,000 |
Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.
Spending by State
| State | Funding | Awards |
|---|---|---|
| Minnesota | $35.0M | 5 |
| Pennsylvania | $20.8M | 2 |
| Texas | $10.1M | 2 |
| Iowa | $7.7M | 2 |
| North Dakota | $7.5M | 1 |
| Georgia | $7.3M | 2 |
| Kansas | $7.3M | 1 |
| Michigan | $7.1M | 2 |
| Washington | $7.0M | 1 |
| Montana | $6.6M | 1 |
| Nebraska | $6.5M | 1 |
| Ohio | $6.3M | 1 |
| Illinois | $6.2M | 1 |
| Oklahoma | $6.0M | 2 |
| Kentucky | $6.0M | 2 |
| Arizona | $6.0M | 1 |
| Wisconsin | $6.0M | 1 |
| Oregon | $5.8M | 1 |
| Colorado | $5.0M | 1 |
| South Dakota | $4.9M | 1 |
| Indiana | $4.8M | 1 |
| North Carolina | $4.8M | 1 |
| Idaho | $4.6M | 1 |
| Alaska | $4.5M | 1 |
| Nevada | $4.3M | 1 |
| West Virginia | $4.1M | 1 |
| Maine | $4.1M | 2 |
| Louisiana | $4.0M | 1 |
| Florida | $3.9M | 1 |
| South Carolina | $3.8M | 1 |
| Wyoming | $3.8M | 1 |
| Missouri | $3.5M | 1 |
| Mississippi | $3.4M | 1 |
| Utah | $3.4M | 1 |
| Hawaii | $3.2M | 1 |
| New Mexico | $3.1M | 1 |
| Tennessee | $3.0M | 1 |
| New York | $3.0M | 1 |
| California | $3.0M | 1 |
| New Hampshire | $2.9M | 1 |
| Arkansas | $2.8M | 1 |
| Alabama | $2.6M | 1 |
| Virginia | $2.5M | 1 |
| Massachusetts | $2.4M | 1 |
| Vermont | $2.4M | 1 |
Top Recipients
Agencies Administering This Program
Source: USAspending.gov · All Programs